Individual
BARBARA ANN POAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1202 HEARTLAND RD, SAINT JOSEPH, MO 64506-3492
(816) 671-8506
Mailing address
1817 ASHLAND AVE, SAINT JOSEPH, MO 64506-2105
(816) 364-5149
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01002
MO
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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