Individual
PATRICK J GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 CARONDELET DR, KANSAS CITY, MO 64114-4673
(800) 968-6866
Mailing address
PO BOX 2747, SHAWNEE MISSION, KS 66201-2747
(800) 968-6866
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD105378
MO
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD105378
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100188160A
—
KS
05
—
206980302
—
MO
01
—
20847017
BLUE CROSS BLUE SHIELD
—
Enumeration date
07/20/2005
Last updated
08/16/2007
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