Individual
RUTH ANN NEVILS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807
(417) 269-7728
(417) 269-7729
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
2010020180
MO
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
4757
AK
207RX0202X
Medical Oncology Physician
01-01255
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009166
—
AK
01
—
1301W
BCBS OF NC
NC
01
—
2299110A
MEDICARE PTAN, INDIVIDUAL
NC
01
—
232009
MEDICARE PTAN, GROUP
NC
01
—
830008110
MEDICARE RAILROAD
NC
05
—
891301W
—
NC
Enumeration date
10/06/2006
Last updated
12/05/2018
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