Individual
BEULAH JOSHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6000
Mailing address
4907 WILSHIRE DR N, SAINT JOSEPH, MO 64506-4583
(816) 566-5356
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2006015479
MO
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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