Individual
ARIE ASHKENASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 E PRIMROSE ST, #200, SPRINGFIELD, MO 65807-5154
(417) 269-1010
(417) 269-6755
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-1010
(417) 269-6755
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
103169
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206723306
—
MO
Enumeration date
08/15/2006
Last updated
12/04/2012
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