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Search › Missouri › 204F00000X

Eddie Island, MD

NPI 1578517389 · on the registry since 2006

Practice

Address
4320 Wornall Rd
Suite 240
Kansas City, MO 64111
Phone
(816) 932-4655
Fax
(816) 932-7920
Organisation at this address
Guastello, Inc
St. Luke'S Hospital
St. Luke'S Hospital
Mccormicks Pharmacy
Lee Plaza Dental Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
175

Registry record

Primary taxonomy
204F00000X
204F00000X
Also registered as
208600000X
208600000X
Licence states on file
FL, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-11-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri