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Individual

TOTKA R. KOUTZEVA-DUSSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2135 S FREMONT AVE, SPRINGFIELD, MO 65804-2239
(417) 820-2364
Mailing address
2135 S FREMONT AVE, SPRINGFIELD, MO 65804-2239
(417) 820-2364

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2018012675
MO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
11/23/2014
Last updated
02/04/2022
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