Individual
DR. JULIANNE M. MAZUREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2800 CLAY EDWARDS DR, NORTH KANSAS CITY, MO 64116-3220
(816) 346-7220
(816) 346-7242
Mailing address
PO BOX 11157, KANSAS CITY, MO 64119-0157
(913) 234-1350
(913) 234-1108
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R7P70
MO
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
R7P70
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17865069
BCBS OF KC MO
MO
01
—
17865079
BCBS KC GROUP 42676018
MO
05
—
203717210
—
MO
01
—
930042005
RR MEDICARE GROUP CD1534
—
01
—
P00785266
RR MEDICARE GROUP DP7386
MO
Enumeration date
08/30/2005
Last updated
02/18/2010
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