Individual
RODNEY PAUL DONHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-4570
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-4570
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
2012035751
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730155102
—
MO
01
—
431560263
TRICARE
MO
01
—
P01152191
RR MCR
MO
Enumeration date
02/27/2006
Last updated
02/29/2024
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