NPI 1013394493
Brett Roark
Practice location
- Address
- 3230 Wisconsin Ave, Joplin, MO 64804-4029
- Phone
- (417) 347-7850
- Fax
- (417) 347-0293
- Mailing address
- PO Box 2526, Joplin, MO 64803-2526
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1013394493
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 May 2015
- Record last updated
- 5 May 2015
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.