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NPI Code Detail

MEDICARE: ANN A GASSMAN MD

MEDICARE: ANN A GASSMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080A0000XPediatric Adolescent Medicine PhysicianR8P78MO

General Provider Information

NPI Number : 1194770883
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN A GASSMAN MD
Provider Business Mailing Address
First Line : 503 N SCOTT AVE
Second Line :
City : BELTON
State : MO
Zip : 64012-1730
Country : US
Telephone Number : 816-322-4769
Fax Number : 816-318-0900
Provider Business Practice Location Address
First Line : 503 N SCOTT AVE
Second Line :
City : BELTON
State : MO
Zip : 64012-1730
Country : US
Telephone Number : 816-322-4769
Fax Number : 816-318-0900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 07/09/2007

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Directions to “ ANN A GASSMAN MD” Practice Location

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