Individual
MARY JANE PHIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, MS
Contact information
Practice address
1032 KINGSHIGHWAY ST, B, ROLLA, MO 65401-2921
(573) 364-1509
(573) 364-6520
Mailing address
RR 2 BOX 38, MANSFIELD, MO 65704-9650
(417) 554-1210
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
2006018551
MO
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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