Whalio Doctors

NPI 1043224413

Rexford Allan Plank, PAC

Practitioner Physician Assistant Fort Leonard Wood, MO

Practice location

Address
126 Missouri Ave McXp-Ccs-Cr, Fort Leonard Wood, MO 65473-8952
Phone
(573) 596-0417
Fax
(573) 596-0524

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 103964 (MO)

Registry record

NPI
1043224413
Entity type
Individual
Sex (as registered)
Male
NPI issued
28 Jul 2006
Record last updated
8 Jul 2007

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.