Individual
DR. JOHN CLAYTON VERSTRAETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3215 MAIN ST, STE 100B, KANSAS CITY, MO 64111-2645
(816) 561-8125
(816) 931-8721
Mailing address
3215 MAIN ST, STE 100B, KANSAS CITY, MO 64111-2645
(816) 561-8125
(816) 931-8721
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
05-28581
KS
207RI0200X
Infectious Disease Physician
Primary
111192
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110248445
RAILROAD MEDICARE PPG
MO
05
—
249662222
—
MO
01
—
440003964
RAILROAD MEDICARE
MO
Enumeration date
04/14/2006
Last updated
09/27/2013
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