Individual
DR. JOHN LESLIE PUTNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4350 S NATIONAL AVE, SUITE C200, SPRINGFIELD, MO 65810-2607
(417) 447-1000
(417) 447-6150
Mailing address
4350 S NATIONAL AVE, SUITE C200, SPRINGFIELD, MO 65810-2607
(417) 447-1000
(417) 447-6150
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
R6H15
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202509428
—
MO
Enumeration date
02/27/2006
Last updated
11/20/2012
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