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

JAMES R ENNIS, DO

Active

JAMES R ENNIS, DO is a General Practice healthcare provider located in HOLTS SUMMIT, Missouri. NPI 1881666865 is currently active in the NPPES registry. Verify at CMS.

General Practice · HOLTS SUMMIT, MO

Registration Details

NPI Number
1881666865
Provider Type
Individual
Gender
Male
NPI Issued
Feb 3, 2006 (20.546298985661 yrs)
Last Updated
Jul 19, 2012
License
R6639 (MO)

Practice Information

Address
180 NORTHSTAR
HOLTS SUMMIT, MO, 65043
Browse MO providers · Browse ZIP 65043
Phone
5738965115
Fax
5738964272
Primary Specialty
General Practice
208D00000X
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.