Organization
WILLIAM J. KLONTZ M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J KLONTZ M.D. (PRESIDENT)
(417) 781-7337
Entity
Organization
Contact information
Practice address
1905 W 32ND ST, STE 208, JOPLIN, MO 64804-1529
(417) 781-7337
(417) 781-9093
Mailing address
4119 WOODCREST CT, JOPLIN, MO 64804-4567
(417) 781-7337
(417) 781-9093
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R4D32
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201882701
—
MO
01
—
260013209
RAILROAD MEDICARE
MO
Enumeration date
02/21/2006
Last updated
09/17/2007
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