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Individual

DONALD L CONVERSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HIS

Contact information

Practice address
2705 N KANSAS EXPY, SPRINGFIELD, MO 65803-1113
(417) 865-8882
(417) 865-7994
Mailing address
6 VICTORY DRIVE, LIBERTY, MO 64068
(816) 313-2800
(816) 792-9819

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2001025770
MO

Other

Enumeration date
03/23/2012
Last updated
04/29/2013
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