Individual
TIFFANY Y WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-0340
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 502-8752
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
2009027856
MO
Other
Enumeration date
07/08/2008
Last updated
04/19/2017
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