Individual
DANIEL E GERSHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1425 NW BLUE PKWY, LEES SUMMIT, MO 64086-5705
(816) 524-3223
(816) 525-2697
Mailing address
1425 NW BLUE PKWY, LEES SUMMIT, MO 64086-5705
(816) 524-3223
(816) 525-2697
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2004015153
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209378207
—
MO
Enumeration date
08/17/2005
Last updated
06/06/2011
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