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Individual

JOSEPH W. WITHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9501 N OAK TRFY, #100, KANSAS CITY, MO 64155-2256
(816) 455-0661
(816) 454-1080
Mailing address
PO BOX 414975, KANSAS CITY, MO 64141-4975
(816) 455-0661
(816) 455-3905

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04 31667
KS
2085R0202X
Diagnostic Radiology Physician
Primary
2005020900
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
207405903
MO
Enumeration date
01/17/2006
Last updated
12/23/2020
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