Oberdorfer, David W

Oberdorfer, David W is an sole proprietor health care provider with primary practice located at 620 E Monroe St , Mexico MO 65265-2919. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Oberdorfer, David W can be contacted via phone (573) 582-4000.

Contact Information

Primary practice address
620 E Monroe St Mexico MO 65265-2919
Phone: (573) 582-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 112400 Missouri
Allopathic & Osteopathic Physicians / Surgery 208600000X 112400 Missouri

Profile Details

NPI number 1457330037
LBN Legal business name Oberdorfer, David W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457330037 NPPES
Missouri Other 112400 MEDICAL LICENSE NUMBER

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