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Individual

DR. MICHAEL A ALBRITTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3800 S NATIONAL AVE STE 100, SPRINGFIELD, MO 65807-5209
(417) 875-3000
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
R2J83
MO
2085R0001X
Radiation Oncology Physician
Primary
R2J83
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
148380069
MEDICARE PTAN
MO
05
202612107
MO
Enumeration date
06/13/2005
Last updated
03/12/2024
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