Individual
JEFFREY PAUL TINDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 HEALTH WAY DR, POTOSI, MO 63664-1434
(573) 438-3655
(573) 438-3105
Mailing address
300 HEALTH WAY DR, POTOSI, MO 63664-1420
(573) 438-3655
(573) 438-3105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12079
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208364208
—
MO
Enumeration date
01/31/2006
Last updated
06/17/2014
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