Individual
DR. MINA K MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
26136 US HIGHWAY 59, FAIRFAX, MO 64446-9105
(660) 686-2211
(660) 686-2618
Mailing address
26136 US HIGHWAY 59, FAIRFAX, MO 64446-9105
(660) 686-2211
(660) 686-2618
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2001022332
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16418
COX HEALTH
—
01
—
171942
BLUE CROSS BLUE SHIELD
MO
05
—
205402027
—
MO
Enumeration date
09/01/2005
Last updated
10/25/2024
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