Organization
CROWNTOWN GENERAL SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS WAYNE NESPORY DO (PRESIDENT)
(816) 781-4007
Entity
Organization
Contact information
Practice address
2521 GLENN HENDREN DR, SUITE 410, LIBERTY, MO 64068-3388
(816) 781-4007
(816) 407-1066
Mailing address
2521 GLENN HENDREN DR, SUITE 410, LIBERTY, MO 64068-3388
(816) 781-4007
(816) 407-1066
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R5J39
MO
Other
Enumeration date
09/09/2016
Last updated
09/13/2016
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