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Individual

DR. MARGO LYNN BLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
19550 E 39TH ST S, SUITE 105A, INDEPENDENCE, MO 64057-2358
(816) 833-0466
(816) 833-4155
Mailing address
19550 E 39TH ST S, SUITE 105A, INDEPENDENCE, MO 64057-2358
(816) 833-0466
(816) 833-4155

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
200814388
MO
2084N0400X
Neurology Physician
3868
AL
2084N0400X
Neurology Physician
48071-021
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1871672287
MO
05
200584880 A
KS
Enumeration date
11/04/2006
Last updated
11/18/2024
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