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Ida Piper

NPI 1598111031 · on the registry since 2016

Practice

Address
642 E Woodland St
Republic, MO 65738
Phone
(417) 425-5193

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-05-13

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