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Individual

CECILEE W PLATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AA -C

Contact information

Practice address
901 E 104TH ST, MAILSTOP 400N, KANSAS CITY, MO 64131-4517
(816) 502-8756
(816) 932-9670
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
2013027462
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1699109033
MO
01
431560263
TRICARE
MO
01
P01241135
RR MCR
MO
Enumeration date
08/21/2013
Last updated
01/16/2017
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