Individual
DR. JASON BOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
1229 E SEMINOLE ST, STE 520, SPRINGFIELD, MO 65804-2227
(417) 820-5071
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
HD 109871
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841339058
—
MO
05
—
196642720
—
AR
01
—
431560263
TRICARE
MO
01
—
P01165463
RR MCR
MO
Enumeration date
02/05/2007
Last updated
06/07/2013
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