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1415 Olive St Saint Joseph MO 64503-2443 | |
(816) 273-5070 | |
(816) 273-5070 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1415 Olive St, Saint Joseph, Missouri |
Authorized Official Name and Position | Patrick E Gaume (OWNER) |
Authorized Official Contact | 8162482144 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3831 Frederick Ave # 106 Saint Joseph MO 64506-3020 Ph: (816) 248-2144 | 1415 Olive St Saint Joseph MO 64503-2443 Ph: (816) 273-5070 |
NPI Number | 1487348389 |
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Provider Enumeration Date | 06/05/2023 |
Last Update Date | 03/06/2024 |
Identifier | Type | State | Issuer |
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1487348389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
311500000X | Alzheimer Center (dementia Center) | (* (Not Available)) | Secondary |