Larry Douglas Mcintire
Otolaryngology/Facial Plastic Surgery
1331 W 32nd St
Joplin
, Missouri 64804
Larry Douglas Mcintire
Otolaryngology/Facial Plastic Surgery
1331 W 32nd St
Joplin
, Missouri 64804
(417) 347-3170
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Larry Douglas Mcintire
- Po Box 3810
- Joplin, MO
- Zip : 64803-3810
- Fax : (417) 347-3170
- Phone : (417) 347-6767
Second Address
- Larry Douglas Mcintire
- 1331 W 32nd St
- Joplin, MO
- Zip : 64804
- Fax : (417) 347-3170
- Phone : (417) 347-6767
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 0526146 | KS |
| N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 22386 | OK |
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 33563 | MO |
National Provider Identifier
| NPI | 1164402046 |
|---|---|
| Provider Name | Larry Douglas Mcintire |
| First Address | Joplin, MO 64803-3810 |
| Second Address | Joplin, MO 64804 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/01/2006 |
| Last Update Date | 08/03/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 241195528 | (05) | MO |
| 9054 | BLUE CROSS (01) | MO |
| D41507 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.