Individual
SAMANTHA MARIE FAWCETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9411 N OAK TRFY, SUITE 100, KANSAS CITY, MO 64155-2233
(816) 436-1800
(816) 436-4241
Mailing address
2700 CLAY EDWARDS DR, SUITE 240, NORTH KANSAS CITY, MO 64116-3251
(816) 691-5287
(816) 346-7690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2015021004
MO
Other
Enumeration date
06/29/2012
Last updated
07/28/2015
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