Individual
CAROL L MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 562-2525
(660) 562-4303
Mailing address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 562-2525
(660) 562-4303
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2011035210
MO
207V00000X
Obstetrics & Gynecology Physician
3559
IA
207V00000X
Obstetrics & Gynecology Physician
410
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649223728
—
MO
Enumeration date
05/18/2006
Last updated
02/08/2013
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