Organization
ST JOSEPH NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGNON M MAKOS MD (PRESIDENT)
(816) 364-3834
Entity
Organization
Contact information
Practice address
105 FAR WEST DR, STE 203, SAINT JOSEPH, MO 64506-3500
(816) 364-3834
(816) 364-3894
Mailing address
105 FAR WEST DR, STE 203, SAINT JOSEPH, MO 64506-3500
(816) 364-3834
(816) 364-3894
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R2F40
MO
Other
Enumeration date
05/12/2006
Last updated
08/22/2020
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