# SUSAN A VEGA DO.PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Susan A Vega DO.PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518167071
- **Authorized official:** DR. SUSAN A VEGA DO (PHYSICIAN)
- **Authorized official phone:** (816) 232-0743

## Contact information

- **Practice address:** 8 COUNTRY CLUB RD, COUNTRY CLUB, MO 64505-1014
- **Practice address phone:** (816) 232-0743
- **Practice address fax:** (816) 361-4151
- **Mailing address:** 8 COUNTRY CLUB RD, COUNTRY CLUB, MO 64505-1014
- **Mailing address phone:** (816) 232-0743
- **Mailing address fax:** (816) 364-4151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R3P07 | MO | Yes |

## Other

- **Enumeration date:** 07/23/2007
- **Last updated:** 01/26/2021