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Individual

JAMES H CEASER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3800 S NATIONAL AVE, SPRINGFIELD, MO 65807-5209
(417) 875-3700
(417) 875-3295
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3000

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
RSB35
MO
207RI0011X
Interventional Cardiology Physician
Primary
R2B35
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106991
BLUE CROSS/BLUE SHIELD
MO
05
201436102
MO
Enumeration date
06/01/2006
Last updated
12/07/2016
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