Organization
PLAZA INFECTIOUS DISEASE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIXIE D FREEBORN (OFFICE MANAGER)
(816) 531-1550
Entity
Organization
Contact information
Practice address
4320 WORNALL RD, SUITE 440, KANSAS CITY, MO 64111-5941
(816) 531-1550
(816) 531-8277
Mailing address
4320 WORNALL RD, SUITE 440, KANSAS CITY, MO 64111-5941
(816) 531-1550
(816) 531-8277
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100214320A
—
KS
01
—
14271019
BC/BS
MO
05
—
502598907
—
MO
Enumeration date
07/04/2006
Last updated
03/20/2008
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