Provider Demographics
NPI:1790314383
Name:NEIBAUER, SARA KRISTINE (DO)
Entity Type:Individual
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First Name:SARA
Middle Name:KRISTINE
Last Name:NEIBAUER
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:3800 S NATIONAL AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-5279
Mailing Address - Country:US
Mailing Address - Phone:417-269-8817
Mailing Address - Fax:417-269-8744
Practice Address - Street 1:2100 S MARION RD
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-3646
Practice Address - Country:US
Practice Address - Phone:605-322-1010
Practice Address - Fax:605-322-1011
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2023-08-29
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Provider Licenses
StateLicense IDTaxonomies
MO2020017447207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine