Individual
ALEC IKERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3220 WISCONSIN AVE STE J, JOPLIN, MO 64804-4074
(417) 347-7600
Mailing address
3020 W 15TH ST, JOPLIN, MO 64801-3507
(417) 627-2532
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2024023910
MO
Other
Enumeration date
06/08/2023
Last updated
06/25/2024
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