Individual
TROY RICHARD D'AMOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3202 MCINTOSH CIR STE 301, JOPLIN, MO 64804-3686
(417) 347-8430
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-4662
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2002010040
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080183943
RR MEDICARE
—
01
—
157590
ANTHEM
MO
05
—
245826003
—
MO
Enumeration date
06/22/2006
Last updated
12/21/2023
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