Organization
SUSAN L DASTA DO PC
Active
Other names
Downtown Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN L DASTA DO (PRESIDENT)
(816) 332-6767
Entity
Organization
Contact information
Practice address
304 DELAWARE ST, KANSAS CITY, MO 64105-1216
(816) 332-6767
(816) 332-6750
Mailing address
304 DELAWARE ST, KANSAS CITY, MO 64105-1216
(816) 332-6767
(816) 332-6750
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2002019232
MO
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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