Organization
VAS-NES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS WAYNE NESPORY D.O. (PRESIDENT)
(816) 792-0010
Entity
Organization
Contact information
Practice address
2521 GLENN HENDREN DR, SUITE 410, LIBERTY, MO 64068-3388
(816) 792-0010
(816) 407-1066
Mailing address
2521 GLENN HENDREN DR, SUITE 410, LIBERTY, MO 64068-3388
(816) 792-0010
(816) 407-1066
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R5J39
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505310508
—
MO
Enumeration date
09/25/2006
Last updated
08/30/2013
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