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Organization
PHILLIP A LIPIRA DPM PC
Active
Organization
PHILLIP A LIPIRA DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JULIE ANN MILLER PMAC (INSURANCE CLERK)
(816) 364-2338
Entity
Organization
Contact information
Practice address
1005A W SAINT MAARTENS DR, SAINT JOSEPH, MO 64506-2989
(816) 364-2338
(816) 364-1003
Mailing address
1005A W SAINT MAARTENS DR, SAINT JOSEPH, MO 64506-2989
(816) 364-2338
(816) 364-1003
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MO000361
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39412012
BLUE CROSS AND BLUE SHIELD OF KANSAS CITY
MO
01
—
DA5371
PALMETTO GBA
MO
01
—
P00062470
PALMETTO GBA-RAILROAD MEDICARE
MO
01
—
Q810000
MEDICARE GROUP NUMBER
MO
Enumeration date
05/30/2007
Last updated
05/20/2009
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