Individual
JUSTIN DASTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2800 CLAY EDWARDS DR, NORTH KANSAS CITY, MO 64116-3220
(877) 840-6992
(913) 495-3712
Mailing address
2750 CLAY EDWARDS DR STE 200A, NORTH KANSAS CITY, MO 64116-3277
(877) 840-6992
(913) 495-3712
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2025001426
MO
208M00000X
Hospitalist Physician
2025001426
MO
Other
Enumeration date
03/29/2022
Last updated
07/22/2025
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