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Individual

DR. SPYROS MICHAEL SISCOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2101 CHARLOTTE ST, KANSAS CITY, MO 64108-2727
(816) 404-7810
Mailing address
1868 KELTON AVE APT 202, LOS ANGELES, CA 90025-6759
(913) 744-9472

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A177736
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
2023010353
MO
207ND0101X
MOHS-Micrographic Surgery Physician
A177736
CA
207R00000X
Internal Medicine Physician
9409573
KS

Other

Enumeration date
03/29/2018
Last updated
07/23/2024
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