Individual
JOHN LOREN STARWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1200 N ONE MILE RD, DEXTER, MO 63841-1000
(573) 624-5566
Mailing address
1200 N ONE MILE RD, DEXTER, MO 63841-1015
(573) 624-5566
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2022032569
MO
207P00000X
Emergency Medicine Physician
T2504
TX
Other
Enumeration date
04/01/2019
Last updated
02/26/2026
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