Healthcare Provider Details

I. General information

NPI: 1528026374
Provider Name (Legal Business Name): STEVEN PATRICK MARSO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 02/10/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2330 E MEYER BLVD SUITE 509
KANSAS CITY MO
64132-1132
US

IV. Provider business mailing address

2330 E MEYER BLVD STE 509
KANSAS CITY MO
64132-1177
US

V. Phone/Fax

Practice location:
  • Phone: 816-276-4800
  • Fax: 816-523-1425
Mailing address:
  • Phone: 816-276-4800
  • Fax: 816-523-1425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberP8944
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number118255
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: