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Individual

ADAM BUHMAN-WIGGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
105 FAR WEST DR STE 105, SAINT JOSEPH, MO 64506-3514
(816) 271-8133
(816) 271-8349
Mailing address
5301 FARAON ST STE 120, SAINT JOSEPH, MO 64506-3512
(816) 271-8133
(816) 271-8134

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
1190
KS
103T00000X
Psychologist
Primary
2000171097
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100117700A
KS
Enumeration date
03/02/2006
Last updated
10/09/2024
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