Individual provider · Type 1 NPI
Matt Havens, MSW LCSW, MS PA-C
Medical Physician Assistant · Bolivar, MO
NPI number
1992912216
Active
Practice location
1300 N Oakland Ave, Suite A
Bolivar, MO 65613-3018
Fax (417) 326-3939
Mailing address
1500 N Oakland Ave
Bolivar, MO 65613-3011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 2005029085 (MO) |
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
12 other providers at this address
- Citizens Memorial HealthcareRural Health Clinic/Center Bolivar, MO NPI 1831303502
- Dr. Donald R. Jump DDS Inc PCGeneral Practice Dentistry Bolivar, MO NPI 1073668216
- Hearing and Audiology Sevices, LLCAudiologist Bolivar, MO NPI 1952653487
- Parkview Surgeons, PCSurgery Physician Bolivar, MO NPI 1780647164
- Courtney Margaret De Souza, MDFamily Medicine Physician Bolivar, MO NPI 1255957163
- Donald R. Jump, DDSGeneral Practice Dentistry Bolivar, MO NPI 1316145188
- Kaylee Jaynelle AnkromFamily Nurse Practitioner Bolivar, MO NPI 1104474741
- Kim S. Davison, DDSGeneral Practice Dentistry Bolivar, MO NPI 1306044177
- Kyli A. Stump, FNP-C, RNFamily Nurse Practitioner Bolivar, MO NPI 1881349629
- Stephen N. Finzo Jr., PSYDPsychologist Bolivar, MO NPI 1760544381
- Steven T. Marshall, D.D.SGeneral Practice Dentistry Bolivar, MO NPI 1659395143
- Timothy R. Jump, DDSGeneral Practice Dentistry Bolivar, MO NPI 1780869883
Other medical physician assistant providers in Bolivar
About NPI 1992912216
Matt Havens, MSW LCSW, MS PA-C's National Provider Identifier is 1992912216, issued on May 17, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bolivar, MO. The record was last updated on Jan 27, 2017.