Individual
ROBERT A MACNAUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 GLENN HENDREN DR, LIBERTY, MO 64068-9625
(816) 407-2038
(816) 792-7135
Mailing address
8000 W 110TH ST, STE 150, OVERLAND PARK, KS 66210-2382
(913) 599-6777
(913) 599-3955
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R6D28
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100324880A
—
KS
01
—
11183150
BCBS
—
05
—
202911301
—
MO
01
—
300089011
RAILROAD MEDICARE
MO
Enumeration date
07/19/2006
Last updated
09/21/2016
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