Search › Missouri › 253Z00000X
Clint Thebeau
NPI 1861979718 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1276 W Liberty St
Farmington, MO 63640 - Phone
- (573) 664-1722
- Organisation at this address
- Thebeau Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 253Z00000X
253Z00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-07-24
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