Individual
DR. HOPE E. MISTEROVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1925 W CHESTERFIELD BLVD, SPRINGFIELD, MO 65807-8686
(417) 269-9060
(417) 269-9061
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2002002089
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164839
MO BLUE SHIELD
MO
05
—
245737101
—
MO
01
—
99267
ARK BLUE SHIELD
AR
Enumeration date
02/06/2007
Last updated
08/13/2024
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