JONATHAN KIRK VASHAW

SPRINGFIELD, MO
NPI1982752085
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MO  2018011405)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: AZ  R2549)
363A00000X Physician Assistant
(Licence: MO  2012006657)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2007-01-08
Last Update Date2018-12-27
Business Address
JONATHAN KIRK VASHAW DO
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807
Phone number: 417-269-6583
Mailing Address
JONATHAN KIRK VASHAW DO
PO BOX 9007
SPRINGFIELD, MO 65808-9007
Phone number: 417-269-6583