Individual
JAMES A GUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1229 E SEMINOLE, SPRINGFIELD, MO 65804-2227
(417) 820-2064
(417) 820-8716
Mailing address
P.O. BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2012025613
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
431560263
TRICARE
MO
01
—
P01110480
RR MCR
MO
Enumeration date
09/06/2012
Last updated
02/13/2013
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