Individual
DR. DOUGLAS O DEHNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4741 COCHISE DR, DISCOVER VISION CENTERS, INDEPENDENCE, MO 64055
(816) 478-1230
(816) 478-4413
Mailing address
4801 S CLIFF AVE, SUITE 100, INDEPENDENCE, MO 64055-7015
(816) 478-1230
(816) 478-4413
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36472
MO
207WX0107X
Retina Specialist (Ophthalmology) Physician
36472
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010022560
RAILROAD MEDICARE
—
01
—
180038013
RAILROAD MEDICARE
—
Enumeration date
08/23/2005
Last updated
04/10/2017
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