Individual
DEBRA A ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1870 BAGNELL DAM BLVD, LAKE OZARK, MO 65049-8658
(573) 365-2318
(573) 365-3009
Mailing address
67 SILVER CREEK LN, ELDON, MO 65026-5430
(573) 280-0672
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000162958
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080165723
RR MEDICARE
—
01
—
130110
BLUE CROSS BLUE SHIELD
—
05
—
205061104
—
MO
01
—
3156281
CIGNA
—
01
—
438746
HEALTHLINK
—
01
—
440546366
UNITED HEALTHCARE
—
01
—
937875
FIRST HEALTH
—
01
—
G25024
MERCY
—
01
—
MA4964061
MEDICARE PTAN
MO
Enumeration date
02/06/2006
Last updated
07/14/2023
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