Most Relevant Information
Provider Data
| NPI Number: | 1003814179 |
| Provider Name: | MICHAEL D DAVID DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 3714 |
Most Important Dates
| Enumeration Date: | 07/12/2005 |
| Last Updated: | 05/05/2021 |
Provider Practice Location
1130 E 32ND ST
JOPLIN
MO
648044034
Practice Location Phone/Fax
| Phone: | 4173472273 |
| Fax: | 4173472277 |
Provider Mailing Location
PO BOX 3810
JOPLIN
MO
648033810
Provider Mailing Phone/Fax
| Phone: | 4173472273 |
| Fax: | 4173472277 |
Suggested EMR
Family Practice EMR