Individual
JAMES HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HEALTHWAY, POTOSI, MO 63664-1420
(573) 438-0751
(573) 438-5460
Mailing address
300 HEALTHWAY, POTOSI, MO 63664-1420
(573) 438-0751
(573) 438-5460
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01041064A
IN
207P00000X
Emergency Medicine Physician
036-086677
IL
207P00000X
Emergency Medicine Physician
2000164180
MO
207P00000X
Emergency Medicine Physician
G-43387
CA
207Q00000X
Family Medicine Physician
Primary
01041064A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207368101
—
MO
05
—
935623210
—
MO
Enumeration date
07/17/2006
Last updated
06/17/2014
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