Individual
JOSE MARIA CONCHA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108
(816) 234-3000
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2010003184
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871782177
—
MO
Enumeration date
10/23/2007
Last updated
08/09/2019
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