Individual
DR. ROGER PATRICK MISASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1606 N BROADWAY ST, PITTSBURG, KS 66762-3022
(620) 308-7251
(620) 308-7250
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-4662
(417) 347-9453
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
05-20199
KS
208VP0014X
Interventional Pain Medicine Physician
0520199
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200013415
—
MO
05
—
30004369010001
—
KS
Enumeration date
07/12/2006
Last updated
06/01/2022
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