Individual
ERIK R TSATUROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12208 E 47TH ST, KANSAS CITY, MO 64133-2519
(816) 786-1454
Mailing address
12208 E 47TH ST, KANSAS CITY, MO 64133-2519
(816) 786-1454
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
M116-112-014
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4841946
—
KS
Enumeration date
02/23/2019
Last updated
02/23/2019
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