Individual
DR. MATTIAS DINO D'ANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(913) 222-9779
Mailing address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(913) 222-9779
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023010864
MO
Other
Enumeration date
06/11/2020
Last updated
08/24/2023
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