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Individual

PAUL BERRY ANDELIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
203 S WASHINGTON AVE STE A, AURORA, MO 65605-1466
(417) 678-4022
(417) 678-4028
Mailing address
1937 W CARDINAL LN, AURORA, MO 65605-1977
(417) 678-6328
(417) 678-4028

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MDR3M76
MO

Other

Enumeration date
12/14/2006
Last updated
01/31/2022
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