Provider Demographics
NPI:1609854769
Name:TRUE, DAVID GREGORY (DO)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:GREGORY
Last Name:TRUE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:909 E REPUBLIC RD STE D200
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-6012
Mailing Address - Country:US
Mailing Address - Phone:417-501-2644
Mailing Address - Fax:877-540-0429
Practice Address - Street 1:909 E REPUBLIC RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-6004
Practice Address - Country:US
Practice Address - Phone:417-501-2644
Practice Address - Fax:417-222-3365
Is Sole Proprietor?:No
Enumeration Date:2006-01-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2010028893207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1609854769Medicaid
IN200879090Medicaid
KY000000520060OtherBCBS # WITH CHS
KY6412850700Medicaid
KY000000520060OtherBCBS # WITH CHS
IN200879090Medicaid
KYP00406609Medicare PIN
KY3397732Medicare PIN