Individual
DR. JAMES PAUL SISK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-4570
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-4570
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2012017692
MO
207R00000X
Internal Medicine Physician
3787
OK
208M00000X
Hospitalist Physician
Primary
2012017692
MO
208M00000X
Hospitalist Physician
3787
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100102650A
—
OK
Enumeration date
06/08/2006
Last updated
04/06/2017
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