Individual provider · Type 1 NPI
James R. Ennis, DO
General Practice Physician · Holts Summit, MO
NPI number
1881666865
Active
Practice location
180 Northstar
Holts Summit, MO 65043
Fax (573) 896-4272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | R6639 (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.
About NPI 1881666865
James R. Ennis, DO's National Provider Identifier is 1881666865, issued on Feb 3, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Holts Summit, MO. The record was last updated on Jul 19, 2012.