Individual
DR. MARK R KATSAROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3527 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-5901
(573) 882-8910
(573) 884-1585
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
114695
MO
207Q00000X
Family Medicine Physician
114695
MO
Other
Enumeration date
05/05/2006
Last updated
05/29/2024
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