Organization
GASTROENTEROLOGY OF THE FOUR STATES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADIA L SINNETT (OFFICE MANAGER)
(417) 222-3434
Entity
Organization
Contact information
Practice address
2024 S MAIDEN LN STE 204, JOPLIN, MO 64804-0319
(417) 222-3434
(417) 222-3435
Mailing address
PO BOX 4439, JOPLIN, MO 64803-4439
(417) 214-0034
(417) 222-3435
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
11/12/2019
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