NATHAN A MIRACLE

OZARK, MO
NPI1326386509
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MO  2013001193)
Enumeration Date2013-01-23
Last Update Date2018-07-19
Business Address
NATHAN A MIRACLE PA-C
3050 E RIVER BLUFF BLVD
OZARK, MO 65721
Phone number: 417-820-5610
Mailing Address
NATHAN A MIRACLE PA-C
3050 E RIVER BLUFF BLVD
OZARK, MO 65721-8807
Phone number: 417-820-5610
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