Individual
LOUIS DAVID LINSENBARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3559 AMAZONAS, JEFFERSON CITY, MO 65109
(573) 893-7848
(573) 893-1984
Mailing address
2077 HONEYSUCKLE, JEFFERSON CITY, MO 65109
(573) 636-3727
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30321
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10178
BCBS
MO
01
—
116585
HEALTHLINK
MO
Enumeration date
09/20/2006
Last updated
07/08/2007
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