Healthcare Provider Details

I. General information

NPI: 1649536277
Provider Name (Legal Business Name): MIDWEST REGIONAL ALLERGY, ASTHMA, ARTHRITIS AND OSTEOPOROSIS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2012
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1027 S MAIN ST STE 202
JOPLIN MO
64801-4540
US

IV. Provider business mailing address

1027 S MAIN ST STE 202
JOPLIN MO
64801-4540
US

V. Phone/Fax

Practice location:
  • Phone: 417-624-0050
  • Fax: 417-624-1331
Mailing address:
  • Phone: 417-624-0050
  • Fax: 417-624-1331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number104718
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number104718
License Number StateMO

VIII. Authorized Official

Name: DR. MICHAEL E JOSEPH SR.
Title or Position: OWNER
Credential: M.D.
Phone: 417-624-0050