Organization
MITTIE M DRAGOSLJVICH MD LLC
Active
Organization
MITTIE M DRAGOSLJVICH MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITTIE MATTHEW DRAGOSLJVICH M.D. (PHYSICIAN/MANAGER)
(580) 917-5392
Entity
Organization
Contact information
Practice address
545 BRANSON LANDING BLVD STE 101, BRANSON, MO 65616-4055
(417) 348-8032
Mailing address
PO BOX 1071, BRANSON, MO 65615-1071
(580) 917-5392
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2008011533
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100025090A
—
OK
01
—
731377294001
BC/BS OF OKLAHOMA
OK
Enumeration date
07/05/2011
Last updated
07/05/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up