Individual
JOHN PAUL GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5844 NW BARRY RD, SUITE 300, KANSAS CITY, MO 64154-1465
(816) 880-2770
Mailing address
PO BOX 504538, SAINT LOUIS, MO 63150-4538
(816) 932-7940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9406835
KS
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2012029309
MO
207RP1001X
Pulmonary Disease Physician
04-34468
KS
207RP1001X
Pulmonary Disease Physician
Primary
2012029309
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X88000028
MEDICARE NUMBER
MO
Enumeration date
07/03/2007
Last updated
05/13/2020
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