Individual
MR. JOSEPH WAYNE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
801 N LINCOLN AVE, MONETT, MO 65708
(417) 235-3144
(417) 354-1412
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2018029736
MO
363A00000X
Physician Assistant
P.A.200418
LA
Other
Enumeration date
02/28/2011
Last updated
09/04/2018
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