Individual
DR. ANDREW SINCLAIR PAVLOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4880 NW GOODVIEW CIRCLE, LEES SUMMIT, MO 64064
(816) 478-4200
(816) 478-0507
Mailing address
3340 NE RALPH POWELL RD, SUITE B, LEES SUMMIT, MO 64064-2368
(816) 875-2599
(816) 875-2598
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
R4J45
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1008053
UHC
MO
01
—
15072030
BCBS OF KC
MO
01
—
204510882
CHAMPUS
MO
01
—
4082857
AETNA
MO
Enumeration date
02/13/2006
Last updated
03/15/2012
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