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Individual

DR. MICHAEL ROBERT CAUGHRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9600 OUTER BELT RD, KANSAS CITY, MO 64149-1129
(816) 763-5466
(949) 270-7558
Mailing address
9600 E. 147TH STREET, KANSAS CITY, MO 64149-1129
(816) 763-5466
(949) 270-7558

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
R7510
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16002054
KANSAS CITY BCBS
MO
05
202969523
MO
01
708813
KS BCBS
KS
Enumeration date
04/10/2006
Last updated
02/10/2010
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