Individual
DENNIS YOUNKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
702 E 34TH ST STE 202, JOPLIN, MO 64804-3921
(417) 347-2535
(417) 347-2553
Mailing address
PO BOX 3810, JOPLIN, MO 64803
(417) 347-2535
(417) 347-2553
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R8F43
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080069917
RR MEDICARE
—
05
—
202614012
—
MO
01
—
8936
ANTHEM
MO
Enumeration date
06/27/2006
Last updated
10/06/2009
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