Individual
LOUIS E MIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
N BUS HWY 65, BRANSON, MO 65616
(417) 335-7218
(417) 334-1507
Mailing address
N BUS HWY 65, BRANSON, MO 65616
(417) 335-7218
(417) 334-1507
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R8C50
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126814
BCBS
—
05
—
208887414
—
MO
01
—
250766
HEALTHLINK
—
01
—
930028765
RAILROAD MEDICARE
—
Enumeration date
06/19/2006
Last updated
12/23/2007
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