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Organization

DONALD KRATZ MD LLC

Active
Other names
Woman's Clinic of Bolivar
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD P KRATZ MD (PRESIDENT)
(417) 887-5500
Entity
Organization

Contact information

Practice address
1317 W BROADWAY, BOLIVAR, MO 65613
(417) 777-4331
(417) 777-5064
Mailing address
1135 E LAKEWOOD, SUITE 112, SPRINGFIELD, MO 65810
(417) 887-5500
(417) 883-8694

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
506186501
MO
Enumeration date
09/25/2006
Last updated
10/04/2010
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