Individual
ALLEN J DUPLANTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6000 HOSPITAL DRIVE, HANNIBAL, MO 63401
(573) 248-1300
Mailing address
2270 ROBERTA DR, WEST PLAINS, MO 65775-1987
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
E4313
TX
207RI0011X
Interventional Cardiology Physician
Primary
E4313
TX
207RI0011X
Interventional Cardiology Physician
R3J14
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E4313
TEXAS LICENSE
TX
01
—
R3J14
MISSOURI LICENSE
MO
Enumeration date
10/13/2006
Last updated
03/31/2019
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