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Individual

DR. GARY WARREN HAMLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
101 N RANGE LINE RD, NORTHPARK MALL STE 246, JOPLIN, MO 64801-4118
(417) 781-4250
(417) 781-5544
Mailing address
PO BOX 1300, JOPLIN, MO 64802-1300
(417) 781-4250
(417) 781-5544

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34816
MO
207Q00000X
Family Medicine Physician
Primary
34816
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1009
ACOEP BOARD CERTIFIED
01
2134
NBEOPS BOARD CERTIFIED
01
32246
BNDD
MO
01
34816
LICENSE NO.
MO
01
7850
ACOFP BOARD CERTIFIED
Enumeration date
05/29/2007
Last updated
09/11/2025
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