Individual
DR. SUSAN ROSAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
777 NW BLUE PKWY, SUITE 3020, LEES SUMMIT, MO 64086-5799
(816) 251-0575
(816) 622-0028
Mailing address
777 NW BLUE PKWY, SUITE 3020, LEES SUMMIT, MO 64086-5799
(816) 251-0575
(816) 622-0028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-22728
KS
207R00000X
Internal Medicine Physician
Primary
R4E00
MO
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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