PAUL B ANDELIN MD PC
Osteopathic Medicine at Cardinal Ln, Jenkins, MO

License number
Missouri R3M76
Category
Medical Practice
Type
Obstetrics & Gynecology
License number
Missouri R3M76
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: DR. PAUL B ANDELIN M.D.
Title: PRESIDENT
Phone: (417) 678-4022
Address
Address
1937 W Cardinal Ln, Jenkins, MO 65605
National Provider ID: 1619149838
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PAUL B. ANDELIN, M.D., PC

203 SUITE A WASHINGTON, Aurora, MO 65605

Status:
Inactive
Registration:
Jun 26, 1998
State ID:
P00457493
Business type:
Professional Corporation
Expiration:
Perpetual
Agent:
Paul B. Andelin,203 SUITE A WASHINGTON, Aurora, MO 65605 (Physical)
PO Box 979, Aurora, MO 65605 (Physical)

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