Individual
DR. DAVID F HAZUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5800 FOXRIDGE DR, SUITE 240, MISSION, KS 66202-2347
(913) 261-3153
(913) 262-3295
Mailing address
5800 FOXRIDGE DR, SUITE 240, MISSION, KS 66202-2347
(913) 261-3153
(913) 262-3295
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
R4161
MO
2085R0202X
Diagnostic Radiology Physician
04-14784
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100153510E
—
KS
01
—
P00961681
RR MEDICARE
MO
Enumeration date
03/06/2006
Last updated
08/01/2013
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