Individual
ANNETTE NOEL MENSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3125 DR RUSSELL SMITH WAY, CARTHAGE, MO 64836-7402
(417) 359-1849
(417) 237-7259
Mailing address
3125 DR RUSSELL SMITH WAY, CARTHAGE, MO 64836-7402
(417) 359-1849
(417) 237-7259
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2015004694
MO
Other
Enumeration date
02/14/2015
Last updated
02/16/2015
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