Individual
DR. JEAN PAULA DIEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3250 GORDONVILLE RD STE 301, CAPE GIRARDEAU, MO 63703-5095
(573) 334-9641
(573) 331-4130
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R3P88
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
868036
ANTHEM BCBS
MO
Enumeration date
07/26/2012
Last updated
01/22/2021
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