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Individual

DR. GEOFFREY LEIGH BLATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
2330 E MEYER BLVD, SUITE T411, KANSAS CITY, MO 64132-1132
(816) 363-2500
(816) 363-8741
Mailing address
2330 E MEYER BLVD, SUITE 411, KANSAS CITY, MO 64132-1132
(816) 363-2500
(816) 363-8741

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
04-21025
KS
207T00000X
Neurological Surgery Physician
Primary
100668
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100140560A
KS
05
203410709
MO
Enumeration date
02/07/2006
Last updated
08/10/2015
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