Organization
CARE FOR WOMEN JOPLIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK TYRONE ADCOCK DO (OWNER)
(417) 623-1222
Entity
Organization
Contact information
Practice address
3201 MCINTOSH CIR, JOPLIN, MO 64804-3647
(417) 623-1222
Mailing address
PO BOX 3027, JOPLIN, MO 64803-3027
(417) 623-1222
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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