Organization
WOMAN'S CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD P KRATZ M.D. (PRESIDENT)
(417) 887-5500
Entity
Organization
Contact information
Practice address
1135 E LAKEWOOD ST, SUITE112, SPRINGFIELD, MO 65810-2434
(417) 887-5500
(417) 883-8964
Mailing address
1135 E LAKEWOOD ST, SUITE112, SPRINGFIELD, MO 65810-2434
(417) 887-5500
(417) 883-8964
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507847101
—
MO
Enumeration date
09/20/2006
Last updated
02/23/2015
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