Individual provider · NPI-1

Betty Abban, M.D.

Internal Medicine · Springfield, MO

NPI number1063893162
StatusActive
Last updated in NPPESSep 10, 2026

Details

NPI
1063893162
Entity type
Individual (NPI-1)
Name
Betty Abban
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jun 15, 2015
Certification date
Sep 9, 2026
Last updated
Sep 10, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine2022010827MOYes

Practice location

3801 S National Ave Ste 1122
Springfield, MO 65807-6090

Phone 417-269-7728 · Fax 417-269-7729

Mailing address

Po Box 7411626
Chicago, IL 60674-5626

Other practice locations

1660 W Garton Rd
Ozark, MO 65721

Phone 000-000-0000

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