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Individual

DICKY LEE PAIGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
2337 G ST, SUITE 2, BELLEVILLE, KS 66935-2463
(785) 527-2237
(785) 527-2820
Mailing address
2337 G ST, SUITE 2, BELLEVILLE, KS 66935-2463
(785) 527-2237
(785) 527-2820

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00378
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
023170
BLUECROSS BLUE SHIELD KS
KS
Enumeration date
07/26/2006
Last updated
07/08/2007
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