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Individual

DR. SCOTT C COZAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2529 GLENN HENDREN DR, SUITE G40, LIBERTY, MO 64068-9625
(816) 415-2147
(816) 415-2158
Mailing address
6601 WINCHESTER AVE, SUITE 230, KANSAS CITY, MO 64133-4677
(816) 313-2677
(816) 313-6000

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
04-22900
KS
2085R0001X
Radiation Oncology Physician
Primary
R3J99
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100135400A
KS
05
203541602
MO
Enumeration date
04/06/2006
Last updated
01/09/2013
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