Individual
AMY L. HERTWECK-WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1905 W 32ND ST, SUITE 103, JOPLIN, MO 64804-1529
(417) 659-6967
(405) 745-9602
Mailing address
PO BOX 1368, MUSTANG, OK 73064-8368
(405) 745-9600
(405) 745-9602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA2082142
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179498003
—
AR
05
—
245828405
—
MO
01
—
P00760838
RAILROAD MEDICARE
—
Enumeration date
06/12/2006
Last updated
09/02/2014
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