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Individual

DR. CLIFFORD VOYD WEITH II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2800 CLAY EDWARDS DR, NORTH KANSAS CITY, MO 64116-3220
(816) 346-7220
Mailing address
6727 NW MONTICELLO TER, PARKVILLE, MO 64152-5706
(816) 679-7275

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2008011546
MO
207P00000X
Emergency Medicine Physician
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1063622058
MO
01
40260015
BCBS OF KC MO GROUP 10408016
MO
01
P00635001
RR MEDICARE GROUP CD1534
MO
Enumeration date
05/22/2007
Last updated
07/21/2022
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