Individual
JAMES LEE WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1602 N 2ND ST, CLINTON, MO 64735-1192
(660) 885-8171
(660) 890-8483
Mailing address
1602 N 2ND ST, CLINTON, MO 64735-1192
(660) 885-8171
(660) 890-8483
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2011021604
MO
207X00000X
Orthopaedic Surgery Physician
6613
KS
Other
Enumeration date
05/03/2007
Last updated
08/02/2011
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