Individual
TONY PAUL PATHADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
315 S OSTEOPATHY AVE, KIRKSVILLE, MO 63501-6401
(660) 785-1000
Mailing address
715 ERIN PL, KIRKSVILLE, MO 63501-4698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2018023113
MO
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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