Individual
JAMES R WIRKKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
807 W 2ND ST, HOLDEN, MO 64040-1291
(816) 735-7979
(816) 735-7898
Mailing address
PO BOX 537, WARRENSBURG, MO 64093-0537
(816) 735-7979
(816) 735-7989
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1999141384
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207253204
—
MO
Enumeration date
08/14/2006
Last updated
11/10/2015
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