DR. Clarence Tucker Joustra, DO

NPI #1942202080 in Lamar, Missouri

Provider Information

NPI Number: 1942202080
Entity Type: Individual
Name: DR. Clarence Tucker Joustra, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Aug 10, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 805 GULF ST
City: Lamar
State: Missouri
ZIP Code: 64759-1238
Phone: (417) 682-5508

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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