Individual
DAVID LEO VLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1115 E PENCE RD, CAMERON, MO 64429-8804
(816) 632-2727
Mailing address
8109 N COSBY AVE, KANSAS CITY, MO 64151-5107
(816) 516-3770
(816) 741-0723
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
MD104275
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208902718
—
MO
Enumeration date
03/07/2008
Last updated
03/07/2008
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