MEDICARE: DR. MARIA MARGARITA LEGARDA MD

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
1	2084N0400X	Neurology Physician	R8935	MO

General Provider Information

NPI Number	:	1225374390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA MARGARITA LEGARDA MD

Provider Business Mailing Address
First Line	:	601 E 12TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64106-2818
Country	:	US
Telephone Number	:	816-455-4887
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 E 12TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64106-2818
Country	:	US
Telephone Number	:	816-455-4887
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2012
Last Update Date	:	12/18/2012

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