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LARRY DEFFENBAUGH DOPC NPI 1760705925


NPI Information

NPI: 1760705925
Provider Name: LARRY DEFFENBAUGH, DO,PC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
1905 W. 32ND ST. SUITE 302
JOPLIN, MO
ZIP 64804
Phone: (417) 782-4701
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LARRY DEFFENBAUGH, DO,PC is a gastroenterology internal medicine in Joplin, MO. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. LARRY DEFFENBAUGH, DO,PC NPI is 1760705925. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1905 W. 32ND ST. SUITE 302
JOPLIN, MO
ZIP 64804
Phone: (417) 782-4701
Fax: (417) 624-5881

The provider's authorized official is Larry D Deffenbaugh .
The authorized official title is President and has the following contact phone number (417) 782-4701.

The enumeration date for this NPI number is 3/2/2010 and was last updated on 3/11/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyR6321MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1240076414MEDICAIDMISSOURI
2A11175MEDICARE UPINMISSOURI
3000004528MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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