Individual
ELIZABETH A ANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17221 E 23RD ST S, SUITE 100, INDEPENDENCE, MO 64057-1803
(816) 350-0005
(816) 350-0015
Mailing address
17221 E 23RD ST S, SUITE 100, INDEPENDENCE, MO 64057-1803
(816) 350-0005
(816) 350-0015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-23500
KS
207R00000X
Internal Medicine Physician
Primary
MD R7B15
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100453390B
—
KS
05
—
201584828
—
MO
05
—
201584836
—
MO
Enumeration date
09/14/2005
Last updated
08/14/2007
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