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NPI Code Detail

MEDICARE: DR. THOMAS M REARDON MD

MEDICARE:  DR. THOMAS M REARDON  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
12086S0127XTrauma Surgery PhysicianR1F96MO

General Provider Information

NPI Number : 1538168711
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS M REARDON MD
Provider Business Mailing Address
First Line : 2750 CLAY EDWARDS DR
Second Line : SUITE 312
City : NORTH KANSAS CITY
State : MO
Zip : 64116-3237
Country : US
Telephone Number : 816-453-4000
Fax Number : 816-842-1425
Provider Business Practice Location Address
First Line : 2750 CLAY EDWARDS DR
Second Line : SUITE 312
City : NORTH KANSAS CITY
State : MO
Zip : 64116-3237
Country : US
Telephone Number : 816-453-4000
Fax Number : 816-842-1425
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 07/09/2007

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Directions to “ DR. THOMAS M REARDON MD” Practice Location

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