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Individual

DR. DONALD P. SCHAEFER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1333 S SAM HOUSTON BLVD, HOUSTON, MO 65483-2046
(417) 967-3311
(417) 967-1234
Mailing address
11330 IRIS RD, NEOSHO, MO 64850-7092
(417) 627-2519

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
106341
MO
207Q00000X
Family Medicine Physician
106341
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100183040A
OK
05
100398750D
KS
05
245245410
MO
01
26D0446923
CLIA
MO
Enumeration date
06/14/2006
Last updated
07/14/2021
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