Individual
MARISSA DORAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2040 HUTTON RD, KANSAS CITY, KS 66109-4526
(913) 299-3700
(913) 721-3316
Mailing address
2040 HUTTON RD, KANSAS CITY, KS 66109-4526
(913) 299-3700
(913) 721-3316
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-02876
KS
363AM0700X
Medical Physician Assistant
PA160132
OR
Other
Enumeration date
10/03/2012
Last updated
03/19/2024
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