Individual
MARK JOHN VAN ESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1229 E SEMINOLE ST STE 520, SPRINGFIELD, MO 65804-2227
(417) 820-5750
(417) 820-5066
Mailing address
1229 E SEMINOLE ST STE 520, SPRINGFIELD, MO 65804-2227
(417) 820-5750
(417) 820-5066
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
2009014117
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841404613
—
MO
Enumeration date
05/10/2007
Last updated
08/04/2011
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