Individual
JIANTAO DING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3850 S NATIONAL AVE, SUITE 600, SPRINGFIELD, MO 65807-5287
(417) 882-4880
(417) 882-7843
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(239) 432-8331
(813) 321-1296
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
2009010822
MO
207RX0202X
Medical Oncology Physician
Primary
2009010822
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00853315
RAILROAD MEDICARE
MO
Enumeration date
07/19/2006
Last updated
12/03/2024
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