Individual
AMIR ANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3415 MCINTOSH CIR, JOPLIN, MO 64804-3651
(417) 347-4000
Mailing address
4322 BLUE HERON, JOPLIN, MO 64801-4058
(304) 291-6735
(304) 291-6735
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22023
WV
207RH0003X
Hematology & Oncology Physician
Primary
2008032027
MO
Other
Enumeration date
10/02/2006
Last updated
10/22/2010
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