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CHAD DAVID LAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 326-6000
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2019014869
MO
207Q00000X
Family Medicine Physician
Primary
2019014869
MO
208D00000X
General Practice Physician
2016018004
MO

Other

Enumeration date
06/15/2016
Last updated
05/08/2024
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