Individual
JEREMY D MABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1150 STATE HIGHWAY 248, STE. 202, BRANSON, MO 65616-3758
(417) 348-8964
(417) 336-0275
Mailing address
1150 STATE HIGHWAY 248, STE. 202, BRANSON, MO 65616-3758
(417) 348-8964
(417) 336-0275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000154576
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080174333
RAILROAD MEDICARE
—
01
—
14189
COX HEALTH SYSTEMS
—
01
—
144172
BCBS
—
05
—
205804610
—
MO
05
—
208887414
—
MO
01
—
462206
HEALTHLINK
—
Enumeration date
06/16/2006
Last updated
03/24/2014
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