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Individual
DR. MICHAEL PRICE
Active
Individual
DR. MICHAEL PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
T0603
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
04-49099
KS
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2024012062
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-49099
STATE MEDICAL LICENSE
KS
01
—
2024012062
STATE MEDICAL LICENSE
MO
01
—
T0603
STATE MEDICAL LICENSE
TX
Enumeration date
04/09/2018
Last updated
11/13/2024
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