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NPI Code Detail

MEDICARE: DR. CHRISTINA RHEA TRYON M.D.

MEDICARE:  DR. CHRISTINA RHEA TRYON  M.D.
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
1208000000XPediatrics Physician2019029813MO
22080P0203XPediatric Critical Care Medicine Physician2019029813MO

General Provider Information

NPI Number : 1639512288
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINA RHEA TRYON M.D.
Provider Business Mailing Address
First Line : 700 EAGLE CT
Second Line :
City : SMITHVILLE
State : MO
Zip : 64089-4510
Country : US
Telephone Number : 405-443-5740
Fax Number :
Provider Business Practice Location Address
First Line : 6364 N COSBY AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64151-2344
Country : US
Telephone Number : 816-256-2806
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2013
Last Update Date : 05/08/2024

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Directions to “ DR. CHRISTINA RHEA TRYON M.D.” Practice Location

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