Individual
DR. LUKE DOUGLAS PYRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1615 HAZEL AVE, CARTHAGE, MO 64836-3020
(417) 359-8803
(417) 359-8454
Mailing address
1615 HAZEL AVE, CARTHAGE, MO 64836-3020
(417) 359-8803
(417) 359-8454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2003016147
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100848210A
—
OK
05
—
200362620A
—
KS
05
—
204642102
—
MO
05
—
243419306
—
MO
Enumeration date
07/30/2006
Last updated
07/14/2014
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