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NPI Code Detail

MEDICARE: DR BOB SAGER LLC

MEDICARE: DR BOB SAGER LLC
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
1261Q00000XClinic/Center04-26822KS

General Provider Information

NPI Number : 1104052281
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR BOB SAGER LLC
Provider Business Mailing Address
First Line : 2140 N KANSAS AVE
Second Line : SUITE B
City : LIBERAL
State : KS
Zip : 67901-2012
Country : US
Telephone Number : 620-626-7080
Fax Number : 620-626-6633
Provider Business Practice Location Address
First Line : 2140 N KANSAS AVE
Second Line : SUITE B
City : LIBERAL
State : KS
Zip : 67901-2012
Country : US
Telephone Number : 620-626-7080
Fax Number : 620-626-6633
Authorized Official
Title or Position : OWNER PHYSICIAN
Name : DR. ROBERT EARL SAGER
Credential : MD
Telephone Number : 620-626-7080
Provider Enumeration Date : 06/03/2009
Last Update Date : 06/15/2009

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Directions to “DR BOB SAGER LLC ” Practice Location

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