Individual
JEREMY MICHAEL HOSTETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
609 E CHERRY ST, SPRINGFIELD, MO 65806-3401
(417) 836-8553
Mailing address
961 GREASY CREEK RD, ELKLAND, MO 65644-8240
(417) 733-4890
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2255A2300X
MO
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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