Individual
MICHAEL SHOWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-2171
Mailing address
PO BOX 78009, SAINT LOUIS, MO 63178-8009
(866) 898-7142
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R6B99
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100162640B
—
KS
05
—
100162640C
—
KS
05
—
100162640D
—
KS
05
—
100162640E
—
KS
01
—
10388108
BCBS
—
05
—
201580032
—
MO
Enumeration date
12/29/2006
Last updated
05/16/2008
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