Individual
DR. MAURICE WILLIAM BLODGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8350 N CHURCH RD, KANSAS CITY, MO 64158-1104
(877) 337-7472
Mailing address
3200 GRAND AVENUE, DES MOINES, IA 50312
(515) 271-1616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2001013136
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100642530 A
—
KS
05
—
245886908
—
MO
05
—
245886924
—
MO
05
—
245886932
—
MO
Enumeration date
06/04/2006
Last updated
01/13/2022
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