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Individual
STACIE L. PALMER
Active
Individual
STACIE L. PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2001009184
MO
208M00000X
Hospitalist Physician
Primary
2001009184
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093788891
—
IA
05
—
200621160A
—
KS
05
—
245321013
—
MO
01
—
P00749593
RR MEDICARE
MO
Enumeration date
02/10/2006
Last updated
03/31/2017
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