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Individual

JAMES LEE PAULSGROVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 NW R D MIZE RD, BLUE SPRINGS, MO 64014-2513
(816) 228-5900
Mailing address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(913) 660-1616

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-38164
KS
207R00000X
Internal Medicine Physician
Primary
2015015365
MO
207R00000X
Internal Medicine Physician
29180
OK

Other

Enumeration date
05/29/2012
Last updated
10/27/2020
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