Individual
ALOK JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 S NATIONAL AVE, SPRINGFIELD, MO 65807-7311
(417) 322-6622
(417) 350-1935
Mailing address
3600 S NATIONAL AVE, SPRINGFIELD, MO 65807-7311
(417) 322-6622
(417) 350-1935
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
105491
MO
207Q00000X
Family Medicine Physician
E-13823
AR
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
105491
MO
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
E-13823
AR
2084P0800X
Psychiatry Physician
Primary
105491
MO
2084P0800X
Psychiatry Physician
E-13823
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136508001
—
AR
05
—
203755616
—
MO
Enumeration date
06/27/2005
Last updated
04/17/2023
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