IndividualActive
Chance Mertgen
NPI 1073389847 · Driver · Boonville, MO
Provider details
- NPI number
- 1073389847
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- S081081006 (MO)
Specialties & taxonomies
Other Service Providers
Practice location
1728 Jesse James Ct
Boonville, MO 65233-2874
Phone: (573) 540-7160
Approximate (ZIP-level) locationGet directions
Mailing address
1728 Jesse James Ct
Boonville, MO 65233-2874
Registry dates
- Enumerated
- 2023-12-01
- Last updated
- 2023-12-01
- Certified
- 2023-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.