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  6. Military Health Care Provider in MISSOURI

Military Health Care Provider Health Providers - MISSOURI

171000000X - Military Health Care Provider

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

List of 26 registered providers with a business address in Missouri whose primary or secondary health provider taxonomy code is Military Health Care Provider, all registered as individuals.

100% Individuals
42% Female
58% Male
100% Individual Providers (26)42% Female Providers (11)58% Male Providers (15)

List of Providers

Provider Name Type AddressMedicarePECOS
LAQUETTE ANDERSON MEDCALFIndividual3209 MAYBELLE DR
SAINT LOUIS, MO 63121
(314) 536-6991		Non-Participating ProviderNO
JANEANE ANN BARROWIndividual331 SIJEN AVE
WHITEMAN AFB, MO 65305
(660) 687-2188		Non-Participating ProviderNO
KELSEY LEA BEANIndividual4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
(573) 596-0417		Non-Participating ProviderYES
JONATHAN KYU CHANGIndividual4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
(847) 971-9098		Non-Participating ProviderNO
WILLIAM CLARKIndividual4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
(703) 309-5012		Non-Participating ProviderNO
DENISE LESLIE COOPERIndividual4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
(573) 826-1115		Accepts MedicareNO
JOHN COPELANDIndividual331 SIJEN AVE
WHITEMAN AFB, MO 65305
(660) 687-2157		Non-Participating ProviderYES
ERIC A DARDENIndividual1400 OLIVE 1430 OLIVE 400 STE
SAINT LOUIS, MO 63103
(314) 206-3700		Non-Participating ProviderNO
JESSICA LYNN DEERINGIndividual2790 CLAY EDWARDS DR STE 1230
NORTH KANSAS CITY, MO 64116
(816) 841-3805		Accepts MedicareYES
APRIL RENEE DUEIndividual3100 EMANUEL CLEAVER II BLVD
KANSAS CITY, MO 64130
(816) 923-2341		Non-Participating ProviderNO
BENJAMIN EARLEIndividual4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
(573) 596-0035		Non-Participating ProviderNO
MELISSA NASH EVERAGEIndividual331 SIJEN AVE
WHITEMAN AFB, MO 65305
(660) 687-2188		Non-Participating ProviderNO
GABE FULLERIndividual4801 E LINWOOD BLVD
KANSAS CITY, MO 64128
(816) 861-4700		Non-Participating ProviderNO
SONNY EZEBULUNWOR IDEOZUIndividual4801 E LINWOOD BLVD
KANSAS CITY, MO 64128
(816) 861-4700		Non-Participating ProviderNO
JENIFER DAWN INSLEYIndividual3808 S GREYSTONE CT
SPRINGFIELD, MO 65804
(417) 889-3332		Accepts MedicareYES
LINDSAY NICOLE KELLYIndividual4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
(573) 596-9627		Non-Participating ProviderYES
HUGH MESTRESIndividual1038 ARBOR POINTE DR
MANCHESTER, MO 63088
(636) 225-4680		Non-Participating ProviderNO
RICHARD K NEWMANIndividual1201 S GRAND BLVD
SAINT LOUIS, MO 63104
(314) 977-1914		Non-Participating ProviderYES
JOSUE J PAREDESIndividual4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
(573) 596-0035		Accepts MedicareYES
VICTOR D PARKERIndividual509TH MEDICAL GROUP SGHC 331 SIJAN AVENUE
WHITEMAN AFB, MO 65035
(660) 687-3374		Non-Participating ProviderYES
JAMESON REICHIndividual331 SIJEN AVE
WHITEMAN AFB, MO 65305
(660) 687-2188		Non-Participating ProviderYES
JACOB MATTHEW SHEPHERDIndividual331 SIJEN AVE
WHITEMAN AFB, MO 65305
(660) 287-2180		Accepts MedicareYES
ERIN SWANIndividual1008 S SPRING AVE FL 1
SAINT LOUIS, MO 63110
(314) 977-5350		Accepts MedicareYES
KYLE WARDIndividual120 HOSPITAL DR STE 200
LEBANON, MO 65536
(417) 533-6780		Accepts MedicareYES
MATTHEW R WILLIAMSIndividual4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
(573) 596-1769		Non-Participating ProviderNO
CRYSTA WILLIAMSIndividual4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
(573) 596-0035		Non-Participating ProviderNO

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