Individual
CLINTON R LOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 556-2300
(417) 556-3625
Mailing address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 556-2300
(417) 556-3625
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2004034548
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126814
BCBS
—
05
—
208887414
—
MO
01
—
250766
HEALTHLINK
—
01
—
I45229
PREMIER PLUS
—
Enumeration date
08/01/2006
Last updated
09/09/2025
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