Organization
DANIEL R MROSAK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL R MROSAK GENERAL SURGERY (PRESIDENT)
(660) 259-4383
Entity
Organization
Contact information
Practice address
904 WOLLARD BLVD, RICHMOND, MO 64085-2229
(816) 470-8952
Mailing address
PO BOX 932079, KANSAS CITY, MO 64193-0001
(816) 470-8952
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000301100
FAMILY HEALTH PARTNERS
MO
01
—
10001342100
COMMUNITY HEALTH PLAN
MO
Enumeration date
03/07/2007
Last updated
01/15/2009
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