Individual
DR. JOHN D. BAURICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2730 E SUNSHINE ST, SPRINGFIELD, MO 65804-2047
(417) 883-0600
(417) 883-9443
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 820-3707
(417) 820-7954
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R4N53
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81893
AR BLUE SHIELD #
MO
Enumeration date
02/08/2007
Last updated
07/22/2008
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