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Individual

ALASTAIR D HADDOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2115 S FREMONT AVE, SUITE 3050, SPRINGFIELD, MO 65804-2239
(417) 820-3905
(417) 820-3528
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
R2A37
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110193990
RAILROAD MEDICARE
05
110527001
AR
01
172643
HEALTHLINK
01
18324
BCBS
01
1974
COX HEALTH SYSTEMS
05
201203338
MO
Enumeration date
06/16/2006
Last updated
05/13/2013
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