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Organization

G & R HEALTH ASSOCIATES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES MEAD GAUNT D.O. (OWNER, PHYSICIAN)
(660) 827-4433
Entity
Organization

Contact information

Practice address
1710 S LAFAYETTE AVE, SEDALIA, MO 65301-7542
(660) 827-4433
(660) 827-4466
Mailing address
1710 S LAFAYETTE AVE, SEDALIA, MO 65301-7542
(660) 827-4433
(660) 827-4466

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R8919
MO
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
R4A061
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08507013
BCBS
MO
01
1030000
MEDICARE LEGACY
MO
01
210180
HEALTHTHLINK
MO
05
503823700
MO
01
7004608
CIGNA
MO
Enumeration date
09/04/2007
Last updated
11/01/2010
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