Individual
DR. CHRISTINA MARIA TWARDOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
2011019181
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205785003
MEDICARE INDIVIDUAL PTAN
IL
Enumeration date
08/03/2010
Last updated
07/18/2012
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