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Individual

DR. FRANKLIN EARL MAYHUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1102 WEST 32ND STREET, JOPLIN, MO 64804
(417) 347-1111
(417) 347-2149
Mailing address
1102 WEST 32ND STREET, JOPLIN, MO 64804
(417) 347-1111
(417) 347-2149

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2002014397
MO
208M00000X
Hospitalist Physician
2002014397
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
204642102
MEDICAID
MO
05
243419306
MO
01
431704371
TAX ID
Enumeration date
05/25/2006
Last updated
10/21/2022
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