| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1982859237 | RUSSELL | JUDITH | ANN | 2817 SAINT JOHNS BLVD | JOPLIN | MO | 648041563 | |
| 1154363232 | SMITH | DAVID | SEAN | 2817 SAINT JOHNS BLVD | JOPLIN | MO | 648041563 | |
| 1992784086 | STAPP | JULIE | ANN | 2817 SAINT JOHNS BLVD | JOPLIN | MO | 648041563 |