Individual
SARA DEFFENBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9411 N OAK TRFY STE 100, KANSAS CITY, MO 64155-2262
(816) 436-1800
(816) 436-4241
Mailing address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-5287
(816) 346-7690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2016023343
MO
207Q00000X
Family Medicine Physician
9408207
KS
Other
Enumeration date
06/06/2013
Last updated
02/11/2020
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