Organization
REGIONAL PLASTIC & RECONSTRUCTIVE
Active
Organization
REGIONAL PLASTIC & RECONSTRUCTIVE
Active
Other names
Duane W Sherrod, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONJA JEAN WOODCOCK (OFFICE MANAGER)
(417) 782-3100
Entity
Organization
Contact information
Practice address
520 E 32ND ST, JOPLIN, MO 64804-3904
(417) 782-3100
(417) 782-2342
Mailing address
520 E 32ND ST, JOPLIN, MO 64804-3904
(417) 782-3100
(417) 782-2342
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R7D97
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982668125
NATIONAL PROVIDER IDENTIF
MO
01
—
CN5879
MEDICARE RAILROAD PIN
MO
Enumeration date
01/15/2008
Last updated
07/24/2013
Update your record
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