Individual
JOSEPH ALBERT AMAVISCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 221-5250
(573) 221-3706
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
(217) 277-3960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2025012600
MO
207Q00000X
Family Medicine Physician
MD156341
OR
Other
Enumeration date
07/28/2009
Last updated
05/08/2025
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