Individual
DR. JUSTIN DANIEL TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 N MAIN ST, GRAVOIS MILLS, MO 65037-6253
(877) 406-2662
(573) 207-2773
Mailing address
401 N MAIN ST, GRAVOIS MILLS, MO 65037-6253
(877) 406-2662
(573) 207-2773
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2013026811
MO
Other
Enumeration date
07/12/2010
Last updated
08/13/2025
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