Individual provider · Type 1 NPI

Amanda W. Detar, DO

General Practice Physician · Joplin, MO

NPI number 1396944294 Active

Practice location

1130 E 32nd St
Joplin, MO 64804-4034

Call (417) 347-2273 Map

Fax (417) 347-2277

Mailing address

PO Box 3810
Joplin, MO 64803-3810

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X2008030163 (MO)
Emergency Medicine Physician 207P00000X2008030163 (MO)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

15 other providers at this address

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About NPI 1396944294

Amanda W. Detar, DO's National Provider Identifier is 1396944294, issued on Jul 12, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Joplin, MO. The record was last updated on Oct 14, 2026.