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NPI Code Detail

MEDICARE: STACIE L. PALMER DO

MEDICARE: STACIE L. PALMER DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician2001009184MO
2208M00000XHospitalist Physician2001009184MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4P00749593OTHERMORR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093788861
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACIE L. PALMER DO
Provider Business Mailing Address
First Line : 5325 FARAON ST
Second Line :
City : SAINT JOSEPH
State : MO
Zip : 64506-3488
Country : US
Telephone Number : 816-271-6406
Fax Number : 816-271-7986
Provider Business Practice Location Address
First Line : 5325 FARAON ST
Second Line :
City : SAINT JOSEPH
State : MO
Zip : 64506-3488
Country : US
Telephone Number : 816-271-6406
Fax Number : 816-271-7986
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 03/31/2017

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Directions to “ STACIE L. PALMER DO” Practice Location

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