ROBERTO CANALES P.A. NPI 1821008541

NPI Information

NPI: 1821008541
Provider Name: ROBERTO CANALES, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
3850 S NATIONAL AVE
SUITE 600
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 882-4880
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Roberto Canales, P.A. is a medical physician assistant in Springfield, MO. Roberto Canales, P.A. NPI is 1821008541. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3850 S NATIONAL AVE
SUITE 600
SPRINGFIELD, MO
ZIP 65807-287
Phone: (417) 882-4880
Fax: (417) 882-7213

The enumeration date for this NPI number is 8/8/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	2006022545	MISSOURI	Yes

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

NPI Synchronization or Removal

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