Individual
MR. DOUGLAS EDWARD POSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, BS
Contact information
Practice address
5208 LAKEWOOD TER, 101, IMPERIAL, MO 63052-4046
(314) 438-5831
Mailing address
5208 LAKEWOOD TER, 101, IMPERIAL, MO 63052-4046
(314) 438-5831
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1111487
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1111487
MISSOURI MEDICAL TECHNOLOGIST II
MO
Enumeration date
02/19/2010
Last updated
02/19/2010
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