Individual
WARREN W. HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2115
(417) 820-5344
Mailing address
PO BOX 504274, SAINT LOUIS, MO 63150-4274
(417) 820-2115
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2013004043
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
440552485
TRICARE
MO
01
—
P01169945
MCR RR
MO
Enumeration date
02/19/2013
Last updated
06/14/2013
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