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Individual

JAMES W DAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1717 S RANGE LINE RD, STE B, JOPLIN, MO 64804-3234
(417) 623-2207
(417) 623-0342
Mailing address
1717 S RANGE LINE RD, STE B, JOPLIN, MO 64804-3234
(417) 623-2207
(417) 623-0342

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R4C18
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100175610A
OK
05
100229840F
KS
05
241709633
MO
Enumeration date
06/09/2006
Last updated
07/23/2019
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