Individual provider · NPI-1
Dr. Jeanne Pauline Abbott, DO
Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine · Osage Beach, MO
NPI number1669467221
StatusActive
Last updated in NPPESMar 28, 2013
Details
- NPI
- 1669467221
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeanne Pauline Abbott
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2005
- Last updated
- Mar 28, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083P0500X | Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine | 2005027545 | MO | Yes |
Practice location
54 Hospital DrSuite 102
Osage Beach, MO 65065-3050
Phone 573-348-8045 · Fax 573-348-8046
Mailing address
54 Hospital DrOsage Beach, MO 65065-3050
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