Individual
DR. WILLIAM JOSEPH KLONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5615 W 32ND ST, JOPLIN, MO 64804-8161
(417) 627-8400
(417) 623-1787
Mailing address
4119 WOODCREST CT, JOPLIN, MO 64804-4567
(417) 627-8400
(417) 623-1787
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R4D32
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100081340F
—
KS
05
—
100197560A
—
OK
05
—
201882701
—
MO
Enumeration date
05/27/2005
Last updated
03/13/2015
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