Search › Missouri › 363A00000X
Jacob Walters, PA-C
NPI 1245579200 · on the registry since 2013
Practice
- Address
- 3050 E River Bluff Blvd
Ozark, MO 65721 - Phone
- (417) 885-3000
- Fax
- (717) 737-7197
- Organisation at this address
- Mercy Hospital Springfield
Mercy Pharmacy Services, Llc
Renew Medical Group Of Missouri
Mercy Clinic Springfield CommunitiesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 32
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
363AM0700X
363AS0400X - Licence states on file
- PA, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri