Registry details

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Full name
Dr. Jack Tyrone Adcock
Credential
DO
Primary specialty
OB-GYN
NPI taxonomy
Obstetrics & Gynecology, Gynecology
NPI number
1669487054
License
2001025553 (MO)
Practice address
3401 MCINTOSH CIR STE 200, Joplin, MO, 64804
Phone
(417) 347-3703
NPI enumerated
July 2006
Source
NPI Registry (CMS)

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