Individual
MICHAEL EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807
(417) 269-6583
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
05-29353
KS
207P00000X
Emergency Medicine Physician
Primary
111636
MO
207Q00000X
Family Medicine Physician
111636
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194768903
—
MO
05
—
208325001
—
MO
Enumeration date
06/13/2006
Last updated
04/30/2026
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