Most Relevant Information
Provider Data
| NPI Number: | 1003076027 |
| Provider Name: | WILLIAM DAVID HOSP |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 116274 |
Most Important Dates
| Enumeration Date: | 06/12/2008 |
| Last Updated: | 06/12/2008 |
Provider Practice Location
301 S MAIN ST
GRANBY
MO
648448336
Practice Location Phone/Fax
| Phone: | 4174726271 |
| Fax: |
Provider Mailing Location
4165 N PEACE CHURCH AVE
JOPLIN
MO
648017638
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |