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Individual

MRS. BONNIE JEAN ARNTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
5816 HIGHWAY 54, SUITE 103A, OSAGE BEACH, MO 65065-3046
(573) 348-4004
(573) 348-3272
Mailing address
PO BOX 3585, CAMDENTON, MO 65020-3585
(573) 348-4004
(573) 348-3272

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
004549
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
152615
BCBS
MO
01
34010
HEALTHCARE USA
MO
Enumeration date
11/20/2006
Last updated
07/08/2007
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