# MCINTIRE EAR NOSE & THROAT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902098049
- **Authorized official:** MS. DONNA L MCINTIRE (MANAGER)
- **Authorized official phone:** (417) 623-6767

## Contact information

- **Practice address:** 1331 W 32ND ST, JOPLIN, MO 64804-1601
- **Practice address phone:** (417) 623-6767
- **Practice address fax:** (417) 623-3170
- **Mailing address:** 1331 W 32ND ST, JOPLIN, MO 64804-1601
- **Mailing address phone:** (417) 623-6767
- **Mailing address fax:** (417) 623-3170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | R5N23 | MO | Yes |

## Other

- **Enumeration date:** 08/13/2007
- **Last updated:** 08/13/2007