Individual
DR. DARWIN M PROSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
222 W GREGORY BLVD, SUITE 110, KANSAS CITY, MO 64114-1127
(816) 523-3585
Mailing address
222 W GREGORY BLVD, SUITE 110, KANSAS CITY, MO 64114-1127
(816) 523-3585
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003749
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12906012
BLUE CROSS
MO
Enumeration date
02/21/2007
Last updated
07/08/2007
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