Individual
MITTIE M DRAGOSLJVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 BRANSON LANDING BLVD, BRANSON, MO 65616-2052
(417) 348-8032
(417) 348-8152
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3462
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
2008011533
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851408934
—
MO
05
—
207033903
—
MO
Enumeration date
08/24/2006
Last updated
12/27/2018
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