Individual
ROBERTO CANALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
3850 S NATIONAL AVE, SUITE 600, SPRINGFIELD, MO 65807-5287
(417) 882-4880
(417) 882-7213
Mailing address
3850 S. NATIONAL, SUITE 600, SPRINGFIELD, MO 65807
(417) 882-4880
(417) 882-7213
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2006022545
MO
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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