Individual
GORDON REED WOUTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
HWY 254 & DALLAS ST., HERMITAGE, MO 65668
(417) 745-2121
(417) 745-6141
Mailing address
1500 N OAKLAND, BOLIVAR, MO 65613
(417) 745-2121
(417) 745-6141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
114045
MO
Other
Enumeration date
08/31/2006
Last updated
01/04/2010
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