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JOSEPH ROY VANBIBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
205 W R D MIZE RD, SUITE 304, BLUE SPRINGS, MO 64014-2518
(816) 228-4770
(816) 228-1156
Mailing address
205 W R D MIZE RD, SUITE 304, BLUE SPRINGS, MO 64014-2518
(816) 228-4770
(816) 228-1156

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R9E89
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1208117
UNITED HEALTH CARE
01
15341039
BLUE CROSS/BLUE SHIELD
05
242479509
MO
01
287900
FAMILY HEALTH PARTNERS
01
287901
FAMILY HEALTH PARTNERS
01
313340
FIRST GUARD
01
4002008
AETNA
Enumeration date
07/07/2005
Last updated
08/27/2012
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