Individual
MR. THOMAS NATHAN SEXTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5601 NE ANTIOCH RD, STE 7, GLADSTONE, MO 64119-2302
(816) 455-1155
(816) 455-1161
Mailing address
5601 NE ANTIOCH RD, STE 7, GLADSTONE, MO 64119-2302
(816) 455-1155
(816) 455-1161
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000576
MO
213E00000X
Podiatrist
12-00278
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8338922
MISSOURI MEDICARE
MO
Enumeration date
07/22/2005
Last updated
07/08/2007
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