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Individual

JAMES R BELK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2829
(417) 820-8852
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2011023451
MO
207L00000X
Anesthesiology Physician
E3048
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1205931177
MO
05
148693001
AR
01
431560263
TRICARE
MO
01
P00985964
RR MCR
MO
Enumeration date
09/14/2006
Last updated
01/20/2012
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