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JAMES C EATON DO

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1144266859

Individual Registrant:
 JAMES C EATON DO
Gender: M
Not Sole Proprietor

Location and contact information for practice:
322 E 11TH ST  BAXTER SPRINGS, KS 66713 US
Tel: 620-856-2182  Fax: 620-856-2100

Contact information for business:
PO BOX 3810  JOPLIN, MO 64803 US
Tel: 620-856-2182  Fax: 620-856-2100

Registration Information:
NPI: 1144266859
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
KS0519915

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
ANTHEM12436MO01
BCBS OF KANSAS040361KS01




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