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Individual

DR. DOUGLAS MICHAEL BURGESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2211 CHARLOTTE ST, KANSAS CITY, MO 64108-2733
(816) 404-5709
Mailing address
2310 HOLMES ST, STE 800, KANSAS CITY, MO 64108-2602
(816) 218-2523
(816) 421-7379

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2011014010
MO
2084P0802X
Addiction Psychiatry Physician
2011014010
MO

Other

Enumeration date
06/29/2007
Last updated
10/20/2016
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