Individual
GIRMA T. ASSEFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7405 RENNER RD, SHAWNEE, KS 66217-9414
(913) 588-2200
(816) 737-0477
Mailing address
10000 E 66TH TER, RAYTOWN, MO 64133-5251
(816) 737-1037
(816) 737-0477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2004016792
MO
Other
Enumeration date
06/01/2007
Last updated
01/12/2024
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