Individual
DR. CHARLES GORODETZKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
5005 WARD PKWY, KANSAS CITY, MO 64112-2366
(816) 813-4255
Mailing address
5005 WARD PKWY, KANSAS CITY, MO 64112-2366
(816) 813-4255
Taxonomy
Speciality
Code
Description
License number
State
208U00000X
Clinical Pharmacology Physician
Primary
14020
KY
Other
Enumeration date
03/09/2014
Last updated
03/09/2014
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