Individual
DR. MOLLIE MARIE JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2817 SAINT JOHNS BLVD, JOPLIN, MO 64804-1563
(417) 781-2727
(417) 781-5845
Mailing address
2817 SAINT JOHNS BLVD, JOPLIN, MO 64804-1563
(417) 781-2727
(417) 781-5845
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2012018322
MO
2086S0102X
Surgical Critical Care Physician
2012018322
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063449676
—
MO
05
—
200974630A
—
KS
Enumeration date
06/27/2006
Last updated
08/25/2014
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