Individual
MR. WILLIAM ELLERD DIERKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
3105 MC CLELLAND BLVD, SUITE 101, JOPLIN, MO 64804-1640
(417) 623-5560
(417) 634-5740
Mailing address
3105 MC CLELLAND BLVD, SUITE 101, JOPLIN, MO 64804-1640
(417) 623-5560
(417) 623-5740
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00733
MO
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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