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Individual

DR. BARRY MICHAEL DRIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1530 LONE OAK RD, PADUCAH, KY 42003-7900
(270) 444-2444
Mailing address
301 MORGAN CT, JOPLIN, MO 64801-1588
(417) 434-3530
(417) 624-5007

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
31525
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100265830C
KS
05
100725650A
OK
05
208067009
MO
01
9356
MO BLUE CROSS BLUE SHIELD
MO
Enumeration date
05/27/2005
Last updated
04/13/2018
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