Provider Demographics
NPI:1871687533
Name:DANCER, MARGARET M J (PA-C)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:M J
Last Name:DANCER
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:1600 E EVERGREEN ST
Mailing Address - Street 2:PO BOX 557
Mailing Address - City:CAMERON
Mailing Address - State:MO
Mailing Address - Zip Code:64429-2400
Mailing Address - Country:US
Mailing Address - Phone:816-649-3348
Mailing Address - Fax:816-649-3383
Practice Address - Street 1:1600 E EVERGREEN ST
Practice Address - Street 2:SUITE C
Practice Address - City:CAMERON
Practice Address - State:MO
Practice Address - Zip Code:64429-2400
Practice Address - Country:US
Practice Address - Phone:816-632-2139
Practice Address - Fax:816-632-2315
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2008-04-09
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOR10633Medicare UPIN
MO785E851Medicare PIN