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

DR. CLARENCE TUCKER JOUSTRA, DO

Active Sole Proprietor

Family Medicine · LAMAR, MO

Registration Details

NPI Number
1942202080
Provider Type
Individual
Gender
Male
NPI Issued
Aug 10, 2005 (20.695976206812 yrs)
Last Updated
Jul 8, 2007
License
R9G86 (MO)
Sole Proprietor
Yes

Practice Information

Address
805 GULF ST
LAMAR, MO, 647591238
Browse MO providers · Browse ZIP 64759
Phone
4176825508
Fax
4176825594
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in LAMAR, MO

Name Credential NPI
DR. JOHN J YANNUCCI II MD 1790760411
JOSEPH F WILSON D.O. 1235169723
DR. JOHN E. ALDEN D.O. 1710063078
DR. THOMAS A HOPKINS MD 1689717456
DR. JOSHUA STANTON WILLIAMS MD 1295269348
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.