Individual
JACK TYRONE ADCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3401 MCINTOSH CIR STE 200, JOPLIN, MO 64804-3604
(417) 347-3703
(417) 347-3727
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-4662
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
2001025553
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245800602
—
MO
Enumeration date
07/31/2006
Last updated
03/18/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us