Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Neosho Bone & Joint Clinic PC

Organization Specialist · NPI 1356599641

Neosho Bone & Joint Clinic PC is a Specialist in Neosho, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4040 Laquesta Dr
Neosho, MO 64850
Phone: (417) 451-1833
Fax: (417) 451-1825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence R9N57 (MO)

Record details

NPI number1356599641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Horace Petersen — Orthopedic Surgeon · (417) 451-1833
NPI enumeratedAugust 29, 2008
Last updated in NPPESAugust 29, 2008
Mailing address4040 Laquesta Dr., Neosho, MO 64850