Individual
JAMES GANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 S NATIONAL AVE, SPRINGFIELD, MO 65804-3634
(417) 269-1499
(417) 269-1459
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2019031063
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2300050352
—
MO
Enumeration date
06/21/2016
Last updated
02/17/2023
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