Individual
XUJUN WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2817 MC CLELLAND BLVD, SUITE 215, JOPLIN, MO 64804-1629
(417) 206-4928
(417) 206-4734
Mailing address
2817 MC CLELLAND BLVD, SUITE 215, JOPLIN, MO 64804-1629
(417) 206-4928
(417) 206-4734
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2006024391
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200092220A
—
OK
05
—
200092230A
—
OK
05
—
200400660A
—
KS
01
—
2006024391
STATE OF MO LICENSE
MO
05
—
201431608
—
MO
05
—
2514363
—
OH
Enumeration date
01/06/2006
Last updated
06/19/2010
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