DANIEL JOSEPH TIVENER

SPRINGFIELD, MO
NPI1992926539
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: MO  2010003274)
Enumeration Date2007-05-01
Last Update Date2016-04-15
Business Address
Dr. DANIEL JOSEPH TIVENER D.O.
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-2829
Mailing Address
Dr. DANIEL JOSEPH TIVENER D.O.
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-2829