Individual
SUSAN SIFERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4400 BROADWAY, STE. 520, KANSAS CITY, MO 64111-3498
(816) 531-4080
(816) 531-0281
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 502-7117
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2014016780
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023246311
—
MO
Enumeration date
06/25/2009
Last updated
11/15/2017
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