Individual
DR. MARK ALON MANDELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4400 BROADWAY, STE. 520, KANSAS CITY, MO 64111-3498
(816) 531-4080
(816) 531-0281
Mailing address
4400 BROADWAY BLVD, KANSAS CITY, MO 64111-3498
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
04-20041
KS
2084N0400X
Neurology Physician
Primary
2014036763
MO
2084N0400X
Neurology Physician
J9748
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629033428
—
MO
Enumeration date
04/18/2006
Last updated
07/04/2024
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