Individual
NAIM GUSTAVO DEL CARMEN MITRE CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
04-33468
KS
2080P0205X
Pediatric Endocrinology Physician
Primary
2008035981
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221955000
—
MN
Enumeration date
08/29/2006
Last updated
04/20/2015
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