Organization
FREEMAN NEOSHO HOSPITAL
Active
Other names
Freeman Neosho Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN W GRADDY (CFO)
(417) 347-6678
Entity
Organization
Contact information
Practice address
336 S JEFFERSON ST, NEOSHO, MO 64850-1769
(417) 347-6605
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-6605
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/06/2013
Last updated
05/03/2016
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