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Individual

DEBORAH ANN JANTSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
825 EUCLID AVE, KANSAS CITY, MO 64124-2323
(816) 474-4920
(816) 889-1836
Mailing address
825 EUCLID AVE, KANSAS CITY, MO 64124-2323
(816) 474-4920
(816) 889-1836

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R4N05
MO
207VG0400X
Gynecology Physician
0435757
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0435757
KANSAS BOARD OF HEALING ARTS
KS
05
208257808
MO
01
R4N05
MISSOURI BOARD OF HEALING ARTS
MO
Enumeration date
12/27/2005
Last updated
01/08/2018
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