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Individual

DR. JEFFREY LEWIS HARSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
1300 N E WINDSOR DRIVE, LEE'S SUMMIT, MO 64086-8477
(816) 525-2405
(816) 525-5559
Mailing address
1300 N.E. WINDSOR DR., LEE'S SUMMIT, MO 64086-8477
(816) 525-2405
(816) 525-5559

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MO 498
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10134016
BLUE CROSS BLUE SHIELD OF KANSAS CITY
MO
05
301869103
MO
01
P00315777
PALMETTO GBA-RAILROAD MEDICARE
MO
Enumeration date
05/05/2006
Last updated
05/21/2008
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