Individual
DR. JEFFREY J. MUTCHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
331 HOSPITAL DR STE A, LEBANON, MO 65536-9251
(417) 533-6560
(417) 533-6580
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
109471
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
248152712
—
MO
Enumeration date
08/30/2006
Last updated
05/09/2013
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