James R Ennis, DO

NPI #1881666865 in Holts Summit, Missouri

Provider Information

NPI Number: 1881666865
Entity Type: Individual
Name: James R Ennis, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: DO
Enumeration Date: Feb 3, 2006
Last Updated: Jul 19, 2012

Practice Location

Address: 180 NORTHSTAR
City: Holts Summit
State: Missouri
ZIP Code: 65043
Phone: (573) 896-5115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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