Whalio Doctors

NPI 1780160366

Pinnacle Regional Hospital, LLC

Organisation Emergency Medicine Physician Boonville, MO

Practice location

Address
17651 B Hwy, Boonville, MO 65233-2839
Phone
(660) 882-7461
Fax
(660) 882-6093
Mailing address
4770 N Belleview Ave STE 205, Kansas City, MO 64116-2119

Authorised official

Name
Jennifer Skanes
Title
Credentialing Contact
Phone
(660) 882-7461

Registered specialties (3)

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 248-47 (MO)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 248-47 (MO)
Rheumatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207RR0500X Licence 248-47 (MO)

Registry record

NPI
1780160366
Entity type
Organization
NPI issued
17 Jul 2018
Record last updated
12 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.