| Organization Name: | OSTEOPATHIC MEDICAL ARTS, LLC |
| NPI Number: | 1083643100 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JERRY L HAMAN (BOSS) |
| Mailing Address: | 27176 St Hwy 6 E Kirksville |
| State: | MO US |
| Postal Code: | 63501 |
| Phone Number: | 6606271812 |
| Fax Number: | 6606274799 |
| NPI Enumeration Date: | 07/01/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |