Individual
CHRISTOPHER R BIASTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1821 W 22ND ST, JOPLIN, MO 64804-0229
(417) 540-5596
(417) 540-5596
Mailing address
1821 W 22ND ST, JOPLIN, MO 64804-0229
(417) 540-5596
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/22/2017
Last updated
10/22/2017
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