Individual
SEAN MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
94-12126
KS
208D00000X
General Practice Physician
2024026179
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2023
Last updated
06/07/2025
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