Individual
JOHN ROBERT PIATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775
(417) 257-6789
(417) 257-5828
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
(417) 257-6789
(417) 257-5828
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2019029281
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019029281
STATE LICENSE
MO
Enumeration date
06/12/2019
Last updated
09/23/2019
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