Provider Demographics
NPI:1154520757
Name:BOX, NATHAN SETH (DO)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:SETH
Last Name:BOX
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:PO BOX 3810
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64803-3810
Mailing Address - Country:US
Mailing Address - Phone:417-347-6767
Mailing Address - Fax:417-347-6769
Practice Address - Street 1:1331 W 32ND ST
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-1601
Practice Address - Country:US
Practice Address - Phone:417-347-6767
Practice Address - Fax:417-347-6769
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2010-07-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2005019100207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery