Individual
DEBORAH A WEEMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5001 LAKE AVE, SAINT JOSEPH, MO 64504
(816) 238-7788
(816) 238-9298
Mailing address
2303 VILLAGE DR, SAINT JOSEPH, MO 64506-4954
(816) 232-6818
(816) 232-6823
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
103897
MO
207Q00000X
Family Medicine Physician
Primary
103897
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208283523
—
MO
Enumeration date
03/10/2006
Last updated
11/19/2019
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