Individual
JEFFREY L DRYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 256-9111
(417) 257-5999
Mailing address
P.O. BOX 1100, WEST PLAINS, MO 65775-1100
(417) 257-5800
(417) 257-5999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R5D34
MO
208M00000X
Hospitalist Physician
R5D34
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125592003
—
AR
05
—
1316923956
—
MO
Enumeration date
12/15/2005
Last updated
11/12/2024
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