NICHOLAS ALLEN LOCKE

BOLIVAR, MO
NPI1841889854
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2021001430)
Enumeration Date2021-01-13
Last Update Date2021-11-12
Business Address
NICHOLAS ALLEN LOCKE NP-C
3817 S SPRINGFIELD AVE STE 140
BOLIVAR, MO 65613-9129
Phone number: 417-730-3508
Mailing Address
NICHOLAS ALLEN LOCKE NP-C
3817 S SPRINGFIELD AVE STE 140
BOLIVAR, MO 65613-9129
Phone number: 417-730-3508