Individual
DOUGLAS SCOTT HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1423 N JEFFERSON AVE, SPRINGFIELD, MO 65802-1917
(417) 269-6583
(417) 269-6573
Mailing address
1304 E REPUBLIC RD, BOX 205, SPRINGFIELD, MO 65804-7210
(417) 269-6583
(417) 269-6573
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
IL
Other
Enumeration date
09/26/2006
Last updated
02/21/2008
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