AMANDA W DETAR

JOPLIN, MO
NPI1396944294
Former NameAMANDA WYATT PEARCE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MO  2008030163)
Enumeration Date2007-07-12
Last Update Date2023-07-20
Business Address
Mrs. AMANDA W DETAR DO
1130 E 32ND ST
JOPLIN, MO 64804-4034
Phone number: 417-347-2273
Mailing Address
Mrs. AMANDA W DETAR DO
PO BOX 3810
JOPLIN, MO 64803-3810
Phone number: 417-347-4662
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