Individual
MICHAEL M TALTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
706 N BURKARTH RD, WARRENSBURG, MO 64093-9303
(660) 747-5444
(816) 875-2597
Mailing address
5101 COLLEGE BLVD, LEAWOOD, KS 66211-1614
(913) 721-3387
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2021042806
MO
363A00000X
Physician Assistant
Primary
PA17925
CA
Other
Enumeration date
03/24/2006
Last updated
05/08/2026
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