Individual
WILLIAM DAVID HOSP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 S MAIN ST, GRANBY, MO 64844-8336
(417) 472-6271
Mailing address
4165 N PEACE CHURCH AVE, JOPLIN, MO 64801-7638
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116274
MO
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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