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Individual

DR. JOSEPH T. MACKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
104 NO. 7 HIGHWAY, SUITE B, BLUE SPRINGS, MO 64014
(816) 229-8880
(816) 229-4363
Mailing address
104 NO. 7 HIGHWAY, SUITE B, BLUE SPRINGS, MO 64014
(816) 229-8880
(816) 229-4363

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000151554
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2381481
AETNA
MO
01
27055015
BC/BS
MO
Enumeration date
08/24/2005
Last updated
12/02/2009
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