Individual
PHILIP S. MCINTIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
800 W JEFFERSON ST FL 2, KIRKSVILLE, MO 63501-1443
(660) 665-4432
(660) 956-4392
Mailing address
800 W JEFFERSON ST, 2ND FLOOR GUTENSOHN CLINIC, KIRKSVILLE, MO 63501-1443
(660) 665-4432
(660) 956-4392
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R5E68
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242064517
—
MO
Enumeration date
03/13/2007
Last updated
04/29/2024
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