Individual
JASON ERWIN OBERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
411 3RD ST, MONETT, MO 65708-2008
(417) 235-6610
Mailing address
411 3RD ST, MONETT, MO 65708-2008
(417) 235-6610
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2022010977
MO
390200000X
Student in an Organized Health Care Education/Training Program
94-09629
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124516158
—
KS
Enumeration date
04/25/2018
Last updated
06/20/2022
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