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Individual

DR. BRIAN WRIGHT ROE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5514 CORPORATE DR STE 150, SAINT JOSEPH, MO 64507
(816) 271-1265
(816) 271-4060
Mailing address
5514 CORPORATE DR STE 150, SAINT JOSEPH, MO 64507-7763
(816) 271-1265
(816) 271-4060

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019024490
MO
207R00000X
Internal Medicine Physician
OT012887
PA
207RC0000X
Cardiovascular Disease Physician
Primary
2019024490
MO

Other

Enumeration date
06/11/2012
Last updated
08/28/2019
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