Individual
DR. JOHN E EMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1032 CROSSWINDS CT, WENTZVILLE, MO 63385-4836
(636) 332-6000
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R7A71
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437275948
—
MO
01
—
4574194
ATN
—
01
—
9202
BCBS
MO
01
—
A10551
UHC
—
Enumeration date
03/22/2007
Last updated
04/30/2018
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