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Organization
MIDWEST INTERNAL MEDICINE, PC
Active
Organization
MIDWEST INTERNAL MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK V RHOADS M.D. (PRESIDENT)
(417) 626-8200
Entity
Organization
Contact information
Practice address
2817 MC CLELLAND BLVD STE 252, JOPLIN, MO 64804-1647
(417) 626-8200
(417) 626-8809
Mailing address
2817 MC CLELLAND BLVD STE 252, JOPLIN, MO 64804-1647
(417) 626-8200
(417) 626-8809
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
R1F87
MO
207R00000X
Internal Medicine Physician
R7E45
MO
Other
Enumeration date
07/07/2006
Last updated
09/11/2025
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