Organization
MIDWEST NEUROSCIENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES D DONOHOE MD (PHYSICIAN)
(816) 373-3213
Entity
Organization
Contact information
Practice address
17020 E US HIGHWAY 40, SUITE 8, INDEPENDENCE, MO 64055-5361
(816) 373-3213
(816) 373-6209
Mailing address
17020 E US HIGHWAY 40, SUITE 8, INDEPENDENCE, MO 64055-5361
(816) 373-3213
(816) 373-6209
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R7396
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R7396
LICENSE
MO
Enumeration date
02/07/2007
Last updated
08/22/2020
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