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1457884074
JACK DAVID COORTS
SPRINGFIELD, MO
NPI
1457884074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MO -----)
Enumeration Date
2017-04-10
Last Update Date
2024-10-01
Business Address
JACK DAVID COORTS MD
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807-5155
Phone number: 000-000-0000
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Mailing Address
JACK DAVID COORTS MD
PO BOX 505673
SAINT LOUIS, MO 63150-5673
Phone number:
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