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General NPI Number Information
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NPI Number | 1457527657
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Entity Type | Individual
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Provider Name | JOSE R NAVATO MD
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Gender | Male
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 3445 S 291 HWY SUITE 300
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City | INDEPENDENCE
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State | MO
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Zip | 64057-2663
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Country | US
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Telephone | 816-795-5675
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Fax |
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Provider Business Mailing Address
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Address Line | 3624 NW BLUE JACKET DR
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City | LEES SUMMIT
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State | MO
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Zip | 64064-3013
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Country | US
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Telephone | 816-373-8899
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 34054
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License Number State | MO
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