Provider Demographics
NPI:1356385553
Name:AFSHAR, DAVID H (DO)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:H
Last Name:AFSHAR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:545 BRANSON LANDING BLVD
Mailing Address - Street 2:SUITE 508
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616
Mailing Address - Country:US
Mailing Address - Phone:417-335-7540
Mailing Address - Fax:417-335-7544
Practice Address - Street 1:545 BRANSON LANDING BLVD
Practice Address - Street 2:SUITE 508
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616
Practice Address - Country:US
Practice Address - Phone:417-335-7528
Practice Address - Fax:417-335-7588
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2013-11-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO36943207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P000174105OtherRAILROAD MEDICARE
MO242685428Medicaid
174076OtherHEALTHLINK
10914OtherBCBS
174076OtherHEALTHLINK
001014440Medicare PIN
P000174105OtherRAILROAD MEDICARE