Healthcare Provider Details

I. General information

NPI: 1255777660
Provider Name (Legal Business Name): DUSTIN S WOYSKI D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2013
Last Update Date: 08/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2790 CLAY EDWARDS DR STE 1230
NORTH KANSAS CITY MO
64116-3253
US

IV. Provider business mailing address

2790 CLAY EDWARDS DR STE 1230
NORTH KANSAS CITY MO
64116-3253
US

V. Phone/Fax

Practice location:
  • Phone: 816-841-3805
  • Fax: 816-214-9330
Mailing address:
  • Phone: 816-294-9184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number2018043033
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: