Individual
MARY E MACNAUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2525 GLENN HENDREN DR, LIBERTY, MO 64068-9625
(816) 407-2038
(816) 792-7135
Mailing address
9212 NIEMAN RD, OVERLAND PARK, KS 66214-1868
(913) 599-6777
(913) 599-3955
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R1P96
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17858186
BCBS
—
Enumeration date
07/19/2006
Last updated
07/08/2007
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