Individual
J B ASTIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
511 BURKARTH RD, WARRENSBURG, MO 64093-3103
(660) 747-8154
(660) 747-9757
Mailing address
511 BURKARTH RD, WARRENSBURG, MO 64093-3103
(660) 747-8154
(660) 747-9757
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R8D56
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110221404
RR MEDICARE
—
05
—
202222543
—
MO
Enumeration date
06/02/2005
Last updated
11/17/2010
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