Search › Missouri › 207Q00000X
Justin Puckett, DO
NPI 1205044146 · on the registry since 2007
Practice
- Address
- 2004 N Baltimore St Ste A
Kirksville, MO 63501 - Phone
- (660) 665-7575
- Fax
- (660) 665-7576
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri