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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB ANDREW WALTERS, PA-C

Active

JACOB ANDREW WALTERS, PA-C is a Physician Assistant healthcare provider located in OZARK, Missouri. NPI 1245579200 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · OZARK, MO

Registration Details

NPI Number
1245579200
Provider Type
Individual
Gender
Male
NPI Issued
Feb 11, 2013 (13.359092814398 yrs)
Last Updated
Aug 18, 2021
Licenses
MA055982 (PA)
MA055982 (PA)
MA055982 (PA)
2021024722 (MO)

Practice Information

Address
3050 E RIVER BLUFF BLVD
OZARK, MO, 657218807
Browse MO providers · Browse ZIP 65721
Phone
4178853000
Fax
7177377197
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in OZARK, MO

Name Credential NPI
MR. JEFFREY S. DELVECCHIO P.A. 1528094695
ERIC BRYAN ENGEL PA 1659444305
JESSICA L. DAVIS PA-C 1568501112
KRAIG M. HOLTORF PA-C 1417096058
STEPHANIE ELIZABETH MATHER PA-C 1366714107
JUSTIN R ALLPHIN PA-C 1528461621
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.