Individual
NEERAJA MARISERLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 556-6673
(914) 361-7441
Mailing address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 556-6673
(914) 361-7441
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2019024561
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2016
Last updated
07/12/2019
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