Healthcare Provider Details

I. General information

NPI: 1316989536
Provider Name (Legal Business Name): ROBERT D. ARNCE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 04/27/2021
Certification Date: 04/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 MCCLELLAND BLVD
JOPLIN MO
64804-1626
US

IV. Provider business mailing address

2631 CUNNINGHAM AVE SUITE A
JOPLIN MO
64804-1543
US

V. Phone/Fax

Practice location:
  • Phone: 417-781-2727
  • Fax:
Mailing address:
  • Phone: 417-627-8967
  • Fax: 417-627-8951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number111287
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number111287
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: