Individual
DR. JIMMY WAYNE PYRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
29 NW 1ST LN, LAMAR, MO 64759-8105
(417) 681-5106
(417) 681-5506
Mailing address
29 NW 1ST LN, LAMAR, MO 64759-8105
(417) 681-5106
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R5091
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100286430A
—
KS
05
—
200053380A
—
OK
05
—
243419306
—
MO
Enumeration date
04/18/2006
Last updated
05/31/2016
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