Individual
ASEFA K GEBRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCH CAQ DMSC,PA-C
Contact information
Practice address
215 E 3RD ST, CARTHAGE, MO 64836-1661
(417) 237-0604
(417) 237-0613
Mailing address
215 E 3RD ST, CARTHAGE, MO 64836-1661
(417) 237-0604
(417) 237-0613
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2016004134
MO
363A00000X
Physician Assistant
Primary
2016004134
MO
363AM0700X
Medical Physician Assistant
2016004134
MO
Other
Enumeration date
02/19/2016
Last updated
02/24/2026
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