Individual
DR. JESSE CHARLES RHOADS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1211 PORTER WAGONER BLVD # 23, WEST PLAINS, MO 65775-1826
(417) 257-6762
(417) 257-5875
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
(417) 257-6762
(417) 257-5875
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2011026862
MO
2084P0800X
Psychiatry Physician
RT-2100
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255539540
—
MO
05
—
188917003
—
AR
Enumeration date
07/07/2007
Last updated
07/21/2022
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