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Individual

EDUARDO GUZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-2047
Mailing address
PO BOX 78009, SAINT LOUIS, MO 63178-8009
(866) 898-7142
(616) 975-9824

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
116694
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10329610A
KS
01
25570050
BCBS
Enumeration date
08/17/2006
Last updated
12/17/2007
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