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Individual

DANIEL J. EARNEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1900 S NATIONAL AVE, SUITE 3400, SPRINGFIELD, MO 65804-2265
(417) 820-3960
(417) 820-3966
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
104943
MO
363AS0400X
Surgical Physician Assistant
104943
MO

Other

Enumeration date
11/27/2006
Last updated
07/11/2008
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