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MITTIE M DRAGOSLJVICH MD LLC
NPI 1790072205
Specialist in Branson, MO

Active since July 05, 2011
545 BRANSON LANDING BLVD STE 101, BRANSON, MO 65616(417) 348-8032 Get Directions Write a Review

NPPES record last updated: July 5, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mittie M Dragosljvich Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MITTIE M DRAGOSLJVICH MD LLC (NPI 1790072205) is a healthcare organization registered as a specialist in Branson, Missouri and active in the NPI registry since July 2011. The organization lists Mittie Matthew Dragosljvich, Physician/manager, as its authorized official.

NPPES Registry Identity

NPI1790072205
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMITTIE M DRAGOSLJVICH MD LLC
Location Address545 BRANSON LANDING BLVD STE 101Branson, MO 65616-4055
Mailing AddressPo Box 1071Branson, MO 65615-1071 · (580) 917-5392
Phone(417) 348-8032
Organization SubpartNo
Authorized OfficialMittie Matthew DragosljvichPhysician/manager · (580) 917-5392
Enumeration DateJuly 5, 2011
✔ NPI 1790072205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MO · 2008011533
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.
545 BRANSON LANDING BLVD STE 101, Branson, MO 65616
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Other Identifiers 3

Other731377294001OK · Bc/bs Of Oklahoma
Medicaid100025090AOK
Medicare UPINE69680

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mittie M Dragosljvich MD LLC's NPI number?

The NPI number for Mittie M Dragosljvich MD LLC is 1790072205. It was assigned to this organization in the NPPES registry on July 5, 2011.

Where is Mittie M Dragosljvich MD LLC located?

Mittie M Dragosljvich MD LLC is located at 545 Branson Landing Blvd Ste 101, Branson, MO 65616. The listed phone number is (417) 348-8032.

What is Mittie M Dragosljvich MD LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mittie M Dragosljvich MD LLC was last updated on July 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.