Healthcare Provider Details

I. General information

NPI: 1134191257
Provider Name (Legal Business Name): ALEXANDER WILLIAM SCHOOFS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 10/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2703 RUNNING HORSE RD
PLATTE CITY MO
64079-7707
US

IV. Provider business mailing address

2703 RUNNING HORSE RD
PLATTE CITY MO
64079-7707
US

V. Phone/Fax

Practice location:
  • Phone: 816-858-7050
  • Fax:
Mailing address:
  • Phone: 816-858-7091
  • Fax: 816-858-3253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number0434967
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number2010011161
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: