Individual
WILONDJA AMIMU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
673 S KENTWOOD AVE, SPRINGFIELD, MO 65802-3229
(720) 350-3109
Mailing address
673 S KENTWOOD AVE, SPRINGFIELD, MO 65802-3229
(720) 350-3109
Taxonomy
Speciality
Code
Description
License number
State
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
232002440073
MO
Other
Enumeration date
09/10/2025
Last updated
10/24/2025
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