Individual
DR. JUSTIN STEPHEN LEGRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 N OLD WILDERNESS RD, NIXA, MO 65714-9490
(417) 269-2227
(417) 269-2235
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2017024870
MO
207Q00000X
Family Medicine Physician
94-08409
KS
Other
Enumeration date
06/19/2014
Last updated
02/20/2025
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