Individual
JACOB SHOWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1126 N BROADWAY AVE BLDG A, SPRINGFIELD, MO 65802-4158
(417) 720-1890
Mailing address
1126 N BROADWAY AVE BLDG A, SPRINGFIELD, MO 65802-4158
(417) 720-1890
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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