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Contact Information

MAGEN M BLADES, PA
1242 E. INDEPENDENCE
SUITE 200
SPRINGFIELD, MO65804
 Phone: 417-883-5500
 Fax: 417-883-5577
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MAGEN M BLADES · (Female)

NPI # 1811162852
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 04/29/2008
Last updated 12/29/2016 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2008009941
  • MO Other P00957131 PALMETTO GBA RAILROAD
  • MO Other 1811162852 TRICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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