Individual
CHANDLER DEJONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
501 N OLD WILDERNESS RD, NIXA, MO 65714-9490
(417) 269-2227
Mailing address
1107 E COBBLESTONE DR, OZARK, MO 65721-5757
(417) 844-8030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
05/09/2025
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