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Individual

BARRY JOSEPH WAACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1401 S PARK ST, EL DORADO SPRINGS, MO 64744-2037
(417) 876-2511
(417) 876-3812
Mailing address
1401 S PARK ST, EL DORADO SPRINGS, MO 64744-2037
(417) 876-2511
(417) 876-3812

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
113092
MO
208M00000X
Hospitalist Physician
113092
MO

Other

Enumeration date
04/13/2006
Last updated
04/18/2023
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