Individual
DR. JAMES GREGORY HUNTRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 4TH ST, MONETT, MO 65708-2314
(417) 235-2020
Mailing address
215 4TH ST, P.O. BOX 460, MONETT, MO 65708-2314
(417) 235-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2905
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312853807
—
MO
01
—
MA2116001
MEDICARE
MO
Enumeration date
03/17/2006
Last updated
05/13/2011
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