NPI 1255957163

Courtney Margaret de Souza, MD

Practitioner Family Medicine Physician Bolivar, MO

Practice location

Address: 1300 N Oakland Ave, Bolivar, MO 65613-3042
Phone: (417) 326-7676
Mailing address: 5140 N California Ave, Chicago, IL 60625

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 2023026723 (MO)

Other Family Medicine providers in Missouri →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 12507687 (IL)

Registry record

NPI: 1255957163
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jun 2020
Record last updated: 13 Jan 2026

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.