Individual
MR. WALTER PAUL GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5400 N. OAK TRAFFICWAY, SUITE 100, KANSAS CITY, MO 64118
(816) 453-6200
(816) 455-0595
Mailing address
2700 CLAY EDWARDS DR, SUITE 240, NORTH KANSAS CITY, MO 64116-3251
(816) 346-7690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R4C81
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09483018
BCBS
MO
05
—
201766409
—
MO
Enumeration date
08/31/2006
Last updated
12/10/2018
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