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Individual

DR. ROSS DIMIL ANDREASSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3000 INDEPENDENCE SQ, WEST PLAINS, MO 65775-4239
(417) 256-1761
(417) 256-1763
Mailing address
3000 INDEPENDENCE SQ, WEST PLAINS, MO 65775-4239
(417) 256-1761
(417) 256-1763

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2000174760
MO
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2000174760
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1558425710
MO
01
658905
HEALTHLINK
MO
01
P00892882
MEDICARE RR
MO
Enumeration date
12/21/2006
Last updated
11/25/2015
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