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NPI Code Detail

MEDICARE: MR. JOHN L HUNT M.D.

MEDICARE: MR. JOHN L HUNT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician29111MO

General Provider Information

NPI Number : 1508881533
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN L HUNT M.D.
Provider Business Mailing Address
First Line : 806 N DOUGLASS ST
Second Line :
City : MALDEN
State : MO
Zip : 63863-1512
Country : US
Telephone Number : 573-276-3873
Fax Number :
Provider Business Practice Location Address
First Line : 806 N DOUGLASS ST
Second Line :
City : MALDEN
State : MO
Zip : 63863-1512
Country : US
Telephone Number : 573-276-3873
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 09/22/2020

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Directions to “ MR. JOHN L HUNT M.D.” Practice Location

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