Individual
WAYNE E PUTNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 875-3000
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
R8688
MO
2085N0700X
Neuroradiology Physician
R8688
MO
2085N0904X
Nuclear Radiology Physician
R8688
MO
2085P0229X
Pediatric Radiology Physician
R8688
MO
2085R0202X
Diagnostic Radiology Physician
Primary
R8688
MO
2085R0203X
Therapeutic Radiology Physician
R8688
MO
2085R0204X
Vascular & Interventional Radiology Physician
R8688
MO
2085U0001X
Diagnostic Ultrasound Physician
R8688
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240698217
—
MO
Enumeration date
11/09/2006
Last updated
09/22/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us