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Individual

DEANN L. STOWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
3555 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 875-3800
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017012408
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952373821
MO
05
420042352
MO
Enumeration date
02/06/2006
Last updated
12/27/2018
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