Individual
GEORGE CHAPMAN OLIVE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3555 S NATIONAL AVE STE 502, SPRINGFIELD, MO 65807-7310
(417) 269-7444
(417) 875-3459
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R9G11
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158168001
—
AR
05
—
202546818
—
MO
Enumeration date
09/27/2006
Last updated
01/30/2024
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