Individual
ROBERT MEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 257-6778
Mailing address
3020 SAINT JOHNS BLVD, SUITE E-3, JOPLIN, MO 64804-1564
(417) 659-6876
(417) 626-7588
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2001017804
MO
Other
Enumeration date
02/12/2008
Last updated
06/12/2020
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