Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 2020028269 | MO |
NPI | 1326572876 |
---|---|
Provider Name | Dr. Joseph Sayegh |
First Address | Independence, MO 64057-2301 |
Second Address | Independence, MO 64057-2301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2017 |
Last Update Date | 27/11/2020 |