Individual
STANLEY M AUGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-0099
(816) 404-5381
Mailing address
2310 HOLMES ST, STE 800, KANSAS CITY, MO 64108-2634
(816) 218-2500
(816) 421-7379
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
103546
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207974403
—
MO
Enumeration date
03/02/2006
Last updated
08/17/2016
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