Doctor Name: | MR. JEFFREY JON HULL |
NPI Number: | 1033106539 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 2002004660 |
Business Practice Address: | 1409 Doctors Drive West Plains, MO - 657754235 |
Business Phone Number: | 4172551373 |
Business Fax Number: | 8664638723 |
Mailing Address: | 1409 Doctors Drive, WEST PLAINS |
State: | MO |
Postal Code: | 657754235 |
Phone Number: | 4172551373 |
Fax Number: | 8664638723 |
NPI Enumeration Date: | 09/30/2005 |
NPI Last Update Date: | 05/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 2002004660 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |