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Individual

ANDREW DONALDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 MOSAIC CT STE 200, SAINT JOSEPH, MO 64506-0015
(816) 271-1350
(816) 271-1355
Mailing address
101 MOSAIC CT STE 200, SAINT JOSEPH, MO 64506-0015
(816) 271-1350
(816) 271-1355

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2024024464
MO
2080S0010X
Pediatric Sports Medicine Physician
2024024464
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200096295
MO
05
30004749280002
KS
Enumeration date
03/24/2021
Last updated
04/06/2026
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