Individual
DENNIS M HANDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17601 B HWY, BOONVILLE, MO 65233-2839
(660) 882-2121
(660) 882-7073
Mailing address
PO BOX 88, 17651 B. HIGHWAY, BOONVILLE, MO 65233-0088
(660) 882-2121
(660) 882-7073
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MDR7966
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102982
HEALTHLINK
MO
01
—
104106
UNITED HEALTHCARE
MO
05
—
201300019
—
MO
01
—
2086349401
KANSAS MEDICAID
KS
01
—
500300006
MEDICARE PTAN
—
01
—
80052848
RR MEDICARE
MO
01
—
9098
BLUE SHIELD/BLUE CHOICE
MO
Enumeration date
06/01/2006
Last updated
08/25/2014
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