Individual
JEAN YE-QIONG GUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-3000
Mailing address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2020014325
MO
208M00000X
Hospitalist Physician
A144088
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200083780
—
MO
Enumeration date
04/27/2015
Last updated
06/09/2020
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