Organization
FAMILY HEALTH CENTER OF JOPLIN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA D CROY MD (PRESIDENT)
(417) 624-4060
Entity
Organization
Contact information
Practice address
2504 S JACKSON AVE, JOPLIN, MO 64804
(417) 624-4060
(417) 624-6131
Mailing address
2504 S JACKSON AVE, JOPLIN, MO 64804
(417) 624-4060
(417) 624-6131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26D0964559
CLIA
—
05
—
505801506
—
MO
Enumeration date
08/17/2005
Last updated
07/21/2022
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