Organization
FRANK W. SHAGETS, JR., M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY MCCOY CST, MA (BACK OFFICE MANAGER)
(417) 623-5111
Entity
Organization
Contact information
Practice address
620 W 32ND ST, SUITE B, JOPLIN, MO 64804-2549
(417) 623-5111
(417) 623-1534
Mailing address
620 W 32ND ST, SUITE B, JOPLIN, MO 64804-2549
(417) 623-5111
(417) 623-1534
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
R8942
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202543005
—
MO
01
—
DN3615
RAILROAD MEDICARE PART B
MO
Enumeration date
06/16/2008
Last updated
01/22/2021
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