Individual
DR. PATRICK JOHN STANGEBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5615 W 32ND ST, JOPLIN, MO 64804-8161
(417) 781-7337
Mailing address
5615 W 32ND ST, JOPLIN, MO 64804-8161
(417) 781-7337
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2010011925
MO
2084P0800X
Psychiatry Physician
24002
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083834873
—
MO
05
—
201095910A
—
KS
Enumeration date
04/26/2007
Last updated
07/24/2014
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