Individual
DR. BRADLEY W GARSTANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8380 N TULLIS AVE, STE 300, KANSAS CITY, MO 64158
(816) 415-3451
(816) 415-3452
Mailing address
PO BOX 219672, KANSAS CITY, MO 64121-9672
(816) 781-7730
(816) 415-1886
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2001014621
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31014041
BCBS
MO
Enumeration date
08/12/2005
Last updated
02/05/2018
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