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Dr. Roger Dale Paige

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NPI Number Detailed Information

Provider Information:

Name: Dr. Roger Dale Paige
Gender: M
Provider License Number If Given: 116659

NPI Information:

NPI: 1770582280
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 4/22/2014

Provider Business Mailing Address:

Address: 1230 N DUQUESNE RD
Joplin, MO 64801
Phone Number: 4177821443
Fax Number: 4177823240

Provider Business Practice Location Address:

Address: 1230 N DUQUESNE RD
Joplin, MO 64801
Phone Number: 4177821443
Fax Number: 4177823240

Provider Taxonomy:

Primary: 103TC0700X
Secondary (if any):
State: MO

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