Individual
DR. STANLEY A MOUNTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2727 MC CLELLAND BLVD, JOPLIN, MO 64804-1626
(417) 625-2300
(417) 625-2005
Mailing address
1701 W 26TH ST, STE B, JOPLIN, MO 64804-1513
(417) 627-8967
(417) 627-8920
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MOR1F87
MO
207Q00000X
Family Medicine Physician
MOR1F87
MO
Other
Enumeration date
07/07/2006
Last updated
01/14/2010
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