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Individual Provider

BETTY ABBAN, M.D.

NPI 1063893162 Active Internal Medicine
Quick Facts
NPI Number
1063893162
Type
Individual (NPI-1)
Credential
M.D.
Status
Active
Enumeration Date
2015-06-15
Last Updated (NPPES)
2026-09-10

Primary Specialty / Taxonomy

TaxonomyInternal Medicine
Taxonomy Code207R00000X
License2022010827 MO

Practice Address

3801 S NATIONAL AVE STE 1122
SPRINGFIELD, MO 658076090

Phone: 417-269-7728

Fax: 417-269-7729

Mailing Address

PO BOX 7411626
CHICAGO, IL 606745626

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.

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