Individual
AMANDA ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3126 S JACKSON AVE STE 200, JOPLIN, MO 64804-2500
(417) 208-3465
Mailing address
3126 S JACKSON AVE, STE 200, JOPLIN, MO 64804-2500
(417) 208-3465
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2017015138
MO
Other
Enumeration date
06/23/2011
Last updated
07/21/2022
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