Individual
DR. JOSEPH ALEXANDER INTRIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2212 W KEARNEY ST, SPRINGFIELD, MO 65803-2029
(417) 520-2374
Mailing address
2212 W KEARNEY ST, SPRINGFIELD, MO 65803-2029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01089779B
IN
Other
Enumeration date
04/22/2021
Last updated
07/17/2024
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