Individual
MR. DAVID DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C
Contact information
Practice address
755 COWAN DR, LEBANON, MO 65536-4629
(417) 532-2805
(417) 532-2865
Mailing address
PO BOX 517, MARSHFIELD, MO 65706-0517
(417) 849-5072
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2004022171
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202941
BC, HARTVILLE MEDICAL CEN
MO
01
—
202943
BC, VALLEY MEDICAL CENTER
MO
05
—
220024481
—
MO
Enumeration date
07/12/2006
Last updated
11/27/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us