Individual
BOGUSLAW ROBERT PIETAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
660 E 24TH ST, KANSAS CITY, MO 64108-2606
(816) 913-8364
Mailing address
660 E 24TH ST, KANSAS CITY, MO 64108-2606
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
2010041083
MO
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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