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1174519821
JACOB BALTZ
SPRINGFIELD, MO
NPI
1174519821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MO 2003009184)
Enumeration Date
2005-09-27
Last Update Date
2018-12-27
Business Address
Dr. JACOB BALTZ M.D.
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807
Phone number: 417-269-6583
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Mailing Address
Dr. JACOB BALTZ M.D.
PO BOX 9007
SPRINGFIELD, MO 65808-9007
Phone number: 417-269-6583
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