Individual
DR. WENDELL PASTORFIDE DORONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
04-20886
KS
2085R0202X
Diagnostic Radiology Physician
R5E30
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100202390D
—
KS
05
—
100202390E
—
KS
05
—
202154910
—
MO
Enumeration date
06/16/2005
Last updated
06/30/2010
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