Individual
DR. JEFFREY W SATTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1500 STATE ST, LEXINGTON, MO 64067-1107
(660) 259-2203
(660) 259-6819
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 502-8752
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2005039882
MO
208M00000X
Hospitalist Physician
2005039882
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010568509
—
MO
01
—
207541509
MEDICAID
MO
01
—
36889011
BLUE CROSS BLUE SHIELD
—
05
—
540568508
—
MO
05
—
595956103
—
MO
05
—
595956202
—
MO
Enumeration date
06/07/2006
Last updated
04/25/2017
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