Individual
DR. JIMMIE L DOUGLASS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
317 S WOOD ST, NEOSHO, MO 64850-1857
(417) 451-1545
(417) 451-1548
Mailing address
317 S WOOD ST, NEOSHO, MO 64850-1857
(417) 451-1545
(417) 451-1548
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
2008000770
MO
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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