Individual
JENNIE L GORHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3555 S NATIONAL AVE, #302, SPRINGFIELD, MO 65807-7310
(417) 269-6868
(417) 269-6865
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DO100997
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730166257
—
MO
Enumeration date
12/27/2005
Last updated
01/21/2015
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