Individual
DR. JEFFREY L PIONTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1870 BAGNELL DAM BLVD, LAKE OZARK, MO 65049-8658
(573) 365-2318
(573) 365-3009
Mailing address
PO BOX 1500, OSAGE BEACH, MO 65065-1500
(573) 302-2840
(573) 302-2841
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36560
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202543542
—
MO
Enumeration date
06/12/2006
Last updated
01/27/2017
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