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Individual

ANDREW SHOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(816) 698-7000
(913) 428-2951
Mailing address
8717 W 110TH ST STE 600, OVERLAND PARK, KS 66210-2126
(913) 428-2900
(913) 428-2951

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2023026894
MO
390200000X
Student in an Organized Health Care Education/Training Program
75289-20
WI

Other

Enumeration date
04/03/2019
Last updated
11/21/2023
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