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Individual

LINDA L PUNCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1965 S FREMONT AVE STE 270, SPRINGFIELD, MO 65804-2257
(417) 820-3890
Mailing address
1965 S FREMONT AVE STE 270, SPRINGFIELD, MO 65804-2257
(417) 820-3890

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
063342
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100180610A
OK
05
100327140B
KS
01
129622
ANTHEM
MO
05
254973803
MO
01
420001005
RR MEDICARE
Enumeration date
06/22/2006
Last updated
03/17/2018
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