Organization
GEORGE M. AUSTIN, M.D. INC.
Active
Organization
GEORGE M. AUSTIN, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN DIECKHOFF (PATIENT ACCOUNTS)
(816) 224-8999
Entity
Organization
Contact information
Practice address
206 NW MOCK AVE, SUITE 200, BLUE SPRINGS, MO 64014-2507
(816) 224-8999
(816) 224-3121
Mailing address
206 NW MOCK AVE, SUITE 200, BLUE SPRINGS, MO 64014-2507
(816) 224-8999
(816) 224-3121
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R8754
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07414054
BLUE CROSS BLUE SHIELD
MO
Enumeration date
03/01/2007
Last updated
08/22/2020
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