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“Physician Assistant” (Fort Leonard Wood, MO)

Location: Fort Leonard Wood, MO
Taxonomy: Physician Assistant.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1003119744 — MR. JON-MARC THIBODEAU PA-C
Practice Location Address:
4430 MISSOURI AVE
FORT LEONARD WOOD MO
65473-9098
Practice Phone: 573-596-0035
1043224413 — MR. REXFORD ALLAN PLANK JR. PA-C
Practice Location Address:
126 MISSOURI AVE MCXP-CCS-CR
FORT LEONARD WOOD MO
65473-8952
Practice Phone: 573-596-0417
1114908795 — TOBEN LYBARGER PHYSICIAN ASSISTANT
Practice Location Address:
126 MISSOURI AVE
FORT LEONARD WOOD MO
65473-8952
Practice Phone: 573-596-0456
1154956795 — MR. STEVEN LEE SWENSEN PA
Practice Location Address:
4430 MISSOURI AVE
FORT LEONARD WOOD MO
65473-9098
Practice Phone: 573-596-0035
1194734749 — MICHAEL STEVEN GODAT PA-C
Practice Location Address:
126 MISSOURI AVE MCXP-CCS-CR
FORT LEONARD WOOD MO
65473-8952
Practice Phone: 573-596-0417
1194748863 — MARK S SHORT PA-C
Practice Location Address:
126 MISSOURI AVE MCXP-CCS-CR
FORT LEONARD WOOD MO
65473-8952
Practice Phone: 573-596-0417
1225045016 — MR. THOMAS GLEN MCGOWEN PA-C
Practice Location Address:
126 MISSOURI AVE MCXP-CCS-CR
FORT LEONARD WOOD MO
65473-8952
Practice Phone: 573-596-0417
1255791851 — SARAH ELIZABETH JOY PA
Practice Location Address:
4430 MISSOURI AVE
FORT LEONARD WOOD MO
65473-9098
Practice Phone: 573-596-1765
1285317800 — DENNISSE LOPEZ RODRIGUEZ
Practice Location Address:
4430 MISSOURI AVE
FORT LEONARD WOOD MO
65473-9098
Practice Phone: 787-410-4628
1295713246 — MRS. LAURIE ANNE MOORE P.A.
Practice Location Address:
126 MISSOURI AVE MCXP-CCS-CR
FORT LEONARD WOOD MO
65473-8952
Practice Phone: 573-596-0417
1336138643 — MR. THOMAS HOUSTON HUME II PA-C MPAS
Practice Location Address:
126 MISSOURI AVE GLWACH ATTN MCXP CCS CR
FORT LEONARD WOOD MO
65473-8952
Practice Phone: 573-596-0417
1376089664 — ERIC W FAGAN PA
Practice Location Address:
GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL 4430 MISSOURI AVE
FORT LEONARD WOOD MO
65473-9098
Practice Phone: 573-596-1490
1386795722 — DAVID SHOUP
Practice Location Address:
4430 MISSOURI AVE
FORT LEONARD WOOD MO
65473-9098
Practice Phone: 573-596-9602
1437140357 — MR. GARY DALE NICHOLS P.A.-C
Practice Location Address:
16TH STREET CTMC, BLDG 885
FORT LEONARD WOOD MO
65473
Practice Phone: 573-596-1680
1558371757 — MR. RONALD JOSEPH MCINNIS PA-C
Practice Location Address:
126 MISSOURI AVE MCXP-CCS-CR
FORT LEONARD WOOD MO
65473-8952
Practice Phone: 573-596-0417
1598884587 — DR. SALVADOR ORTIZ III APA-C
Practice Location Address:
4234 ILLINOIS AVE
FORT LEONARD WOOD MO
65473-9098
Practice Phone: 573-596-0039
1639971997 — JENNIFER H PARKER
Practice Location Address:
4430 MISSOURI AVE
FORT LEONARD WOOD MO
65473-9098
Practice Phone: 573-596-1490
1740753953 — JOSUE J PAREDES PA
Practice Location Address:
4430 MISSOURI AVE
FORT LEONARD WOOD MO
65473-9098
Practice Phone: 573-596-0035
1760007355 — ZAINE ROBERT DUGAN
Practice Location Address:
4430 MISSOURI AVE
FORT LEONARD WOOD MO
65473-9098
Practice Phone: 573-596-0035
1841263092 — MR. DAVID EUGENE MULLIES PA-C
Practice Location Address:
126 MISSOURI AVE MCXP-CCS-CR
FORT LEONARD WOOD MO
65473-8952
Practice Phone: 573-596-0417
1841744901 — JACOB AARON KERSEY PA-C
Practice Location Address:
4430 MISSOURI AVE
FORT LEONARD WOOD MO
65473-9098
Practice Phone: 573-596-0417
1851649214 — AUGUST CHRISTOPHER SEEBER PA-C
Practice Location Address:
126 MISSOURI AVE
FORT LEONARD WOOD MO
65473-8952
Practice Phone: 573-596-0035
1902589385 — CRYSTA WILLIAMS PA-C
Practice Location Address:
4430 MISSOURI AVE
FORT LEONARD WOOD MO
65473-9098
Practice Phone: 573-596-0035
1902814734 — STEPHEN CHAFFINS PA-C
Practice Location Address:
126 MISSOURI AVE MCXP-CCS-CR
FORT LEONARD WOOD MO
65473-8952
Practice Phone: 573-596-0417
1952989576 — SEAN FULFORD
Practice Location Address:
GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL ATTN: MCXP-DQS-CR
FORT LEONARD WOOD MO
65473
Practice Phone: 573-796-0035
1972569739 — TROY VINCENT VAUGHN PA-C
Practice Location Address:
4430 MISSOURI AVE
FORT LEONARD WOOD MO
65473-9098
Practice Phone: 578-596-0417

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