Individual
DONET CHRISTOPHER MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1706 PROSPECT DR, MACON, MO 63552-2615
(660) 385-1006
(660) 385-1028
Mailing address
PO BOX 402, MACON, MO 63552-0402
(660) 385-1008
(660) 385-1062
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
110583
MO
208VP0014X
Interventional Pain Medicine Physician
110583
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200041474
RR MEDICARE
MO
Enumeration date
08/02/2006
Last updated
08/25/2020
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