Individual
MICAH PESCETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4801 LINWOOD BLVD, KANSAS CITY VETERANS HOSPITAL, KANSAS CITY, MO 64128
(816) 861-4700
Mailing address
1342 RANDALL RD, INDEPENDENCE, MO 64055-1606
(816) 305-8270
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2008017197
MO
Other
Enumeration date
05/02/2007
Last updated
09/23/2014
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