Individual
ANDI J SELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
202 E 50TH ST, JOPLIN, MO 64804-4920
(417) 556-3400
(417) 556-3401
Mailing address
202 E 50TH ST, JOPLIN, MO 64804-4920
(417) 556-3400
(417) 556-3401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2016007045
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740444728
—
MO
05
—
200632650A
—
OK
05
—
201136300A
—
KS
Enumeration date
07/18/2008
Last updated
04/10/2026
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