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Individual

STACIE L. PALMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6406
(816) 271-7986
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6406
(816) 271-7986

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2001009184
MO
208M00000X
Hospitalist Physician
Primary
2001009184
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1093788891
IA
05
200621160A
KS
05
245321013
MO
01
P00749593
RR MEDICARE
MO
Enumeration date
02/10/2006
Last updated
03/31/2017
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