Individual
JOHN FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 S ASH ST, NEVADA, MO 64772-3224
(417) 667-3355
(417) 448-3691
Mailing address
800 S ASH ST, NEVADA, MO 64772-3224
(417) 667-3355
(417) 448-3691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0425914
KS
207R00000X
Internal Medicine Physician
Primary
2019047633
MO
208000000X
Pediatrics Physician
04-25914
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100317810A
—
KS
05
—
203879002
—
MO
Enumeration date
11/11/2005
Last updated
01/05/2024
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