Individual
TRENT ANDREW PLATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.A.
Contact information
Practice address
2525 GLENN HENDREN DR, ANESTHESIA DEPT, LIBERTY, MO 64068-9625
(816) 792-7037
(816) 792-7196
Mailing address
PO BOX 804408, KANSAS CITY, MO 64180-4408
(913) 642-4900
(913) 381-0979
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
2008025538
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154579415
—
MO
01
—
P00639276
RR MEDICARE
MO
Enumeration date
08/28/2008
Last updated
10/09/2024
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