Individual
JUSTIN LYNN ORREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1130 E 32ND ST, JOPLIN, MO 64804-4034
(417) 347-2273
(417) 347-2277
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-4662
(417) 347-9453
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2023014385
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10904336
DRIVERS LICENSE
TX
Enumeration date
05/21/2020
Last updated
01/04/2024
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