Individual
JOSHUA MICHAEL MOUROT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2790 CLAY EDWARDS DR STE 600, NORTH KANSAS CITY, MO 64116-3274
(816) 691-5048
(816) 346-7039
Mailing address
2790 CLAY EDWARDS DR STE 625, NORTH KANSAS CITY, MO 64116-3278
(816) 455-3990
(816) 455-5351
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2020019650
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200085058
—
MO
Enumeration date
03/23/2009
Last updated
02/18/2021
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