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Individual

DR. ANTHONY JACOB PAPPAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 HOSPITAL DR, LEBANON, MO 65536-9210
(417) 533-6100
Mailing address
100 HOSPITAL DR, LEBANON, MO 65536-9210
(417) 533-6100

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2022014785
MO
207P00000X
Emergency Medicine Physician
40749
SC
207P00000X
Emergency Medicine Physician
4301105209
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
407492
SC
Enumeration date
06/12/2014
Last updated
09/01/2022
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