Individual
MARITA TOBY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3041
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
2012020889
MO
2080P0203X
Pediatric Critical Care Medicine Physician
J9388
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119120702
—
TX
Enumeration date
03/24/2006
Last updated
11/09/2012
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