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1780857284

NPI Code Detail

MEDICARE: JOANNA DUANE TWOMBLY D.O.

MEDICARE: JOANNA DUANE TWOMBLY D.O.

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
1	207V00000X	Obstetrics & Gynecology Physician	75069	MN
2	207V00000X	Obstetrics & Gynecology Physician	2018014390	MO
3	207V00000X	Obstetrics & Gynecology Physician	DO3556	ME
4	207V00000X	Obstetrics & Gynecology Physician	OP61394894	WA
5	207V00000X	Obstetrics & Gynecology Physician	34-009177	OH
6	207V00000X	Obstetrics & Gynecology Physician	LT22014	ME
7	207V00000X	Obstetrics & Gynecology Physician	06-1833974	AR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	267325YJL4	OTHER	AR	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780857284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNA DUANE TWOMBLY D.O.

Provider Business Mailing Address
First Line	:	6456 ABIGAIL LN
Second Line	:
City	:	REPUBLIC
State	:	MO
Zip	:	65738-9496
Country	:	US
Telephone Number	:	419-261-0159
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 N OAKLAND AVE
Second Line	:
City	:	BOLIVAR
State	:	MO
Zip	:	65613-3011
Country	:	US
Telephone Number	:	417-326-6000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2008
Last Update Date	:	01/15/2026

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Directions to “ JOANNA DUANE TWOMBLY D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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