Physician
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According to 2025 Medicare claims, NPI 1629465109 (NPI: 1629465109) practices mass immunization roster billers in the Joplin, MO-KS market, with the plurality of this provider's patient population coming from Cherokee, KS.
1629465109's data goes back to 2012 and runs through 2026. For example, in 2023, this provider had 126 traditional Medicare patients, billed 384 HCPCS/CPT codes, and received $25,232 in Medicare payments. No Open Payments records.
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