Individual
DENIS E PERCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
120 HOSPITAL DR, SUITE 225, LEBANON, MO 65536-9238
(417) 533-6710
(417) 533-6719
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
51046-21
WI
207V00000X
Obstetrics & Gynecology Physician
Primary
R1J47
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235185265
—
MO
Enumeration date
05/25/2006
Last updated
11/15/2012
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