Healthcare Provider Details

I. General information

NPI: 1306949300
Provider Name (Legal Business Name): MARK LEWIS HECHLER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 07/25/2024
Certification Date: 07/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 N BURKARTH RD
WARRENSBURG MO
64093-9303
US

IV. Provider business mailing address

5101 COLLEGE BLVD
LEAWOOD KS
66211-1614
US

V. Phone/Fax

Practice location:
  • Phone: 660-747-5444
  • Fax: 660-747-5481
Mailing address:
  • Phone: 816-478-4200
  • Fax: 816-875-2598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number101381
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: