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NPI Code Detail

MEDICARE: JOSEPH ROY VANBIBER DO

MEDICARE: JOSEPH ROY VANBIBER 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
1208000000XPediatrics PhysicianR9E89MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1287900OTHERFAMILY HEALTH PARTNERS
215341039OTHERBLUE CROSS/BLUE SHIELD
3287901OTHERFAMILY HEALTH PARTNERS
41208117OTHERUNITED HEALTH CARE
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
64002008OTHERAETNA
7313340OTHERFIRST GUARD

General Provider Information

NPI Number : 1982602678
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH ROY VANBIBER DO
Provider Business Mailing Address
First Line : 205 W R D MIZE RD
Second Line : SUITE 304
City : BLUE SPRINGS
State : MO
Zip : 64014-2518
Country : US
Telephone Number : 816-228-4770
Fax Number : 816-228-1156
Provider Business Practice Location Address
First Line : 205 W R D MIZE RD
Second Line : SUITE 304
City : BLUE SPRINGS
State : MO
Zip : 64014-2518
Country : US
Telephone Number : 816-228-4770
Fax Number : 816-228-1156
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 08/27/2012

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Directions to “ JOSEPH ROY VANBIBER DO” Practice Location

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