Individual
DR. MARIO J GUASTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2308 ARNO RD, MISSION HILLS, KS 66208-2251
(913) 831-9424
Mailing address
2308 ARNO RD, MISSION HILLS, KS 66208-2251
(913) 831-9424
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
04-13093
KS
207Y00000X
Otolaryngology Physician
2010042691
MO
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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