Individual
GEORGE M AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
206 NW MOCK AVE, STE 200, BLUE SPRINGS, MO 64014-2530
(816) 224-8999
(816) 224-3121
Mailing address
206 NW MOCK AVE, STE 200, BLUE SPRINGS, MO 64014-2530
(816) 224-8999
(816) 224-3121
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R8754
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07414054
BLUE CROSS BLUE SHIELD
MO
01
—
340004705
RAILROAD MEDICARE
MO
Enumeration date
06/09/2005
Last updated
07/14/2010
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