Individual
DR. DWIGHT ST CLAIR
Active
Individual
DR. DWIGHT ST CLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0524105
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047687
BLUE CROSS BLUE SHIELD
KS
05
—
100232310B
—
KS
01
—
260026318
RR MEDICARE
KS
Enumeration date
07/14/2006
Last updated
10/17/2011
Update your record
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