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Individual

DESIREE STUART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2216 E 32ND ST, SUITE #101, JOPLIN, MO 64804-3016
(417) 624-8730
(417) 624-8747
Mailing address
2216 E 32ND ST, SUITE #101, JOPLIN, MO 64804-3016
(417) 624-8730
(417) 624-8747

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2015017424
MO

Other

Enumeration date
06/11/2015
Last updated
06/11/2015
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