Organization
CARDIOVASCULAR SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARKE LATTA HENRY JR. M.D. (PRESIDENT)
(816) 942-0770
Entity
Organization
Contact information
Practice address
930 CARONDELET DR, STE 104, KANSAS CITY, MO 64114-4855
(816) 942-0770
(816) 942-0668
Mailing address
930 CARONDELET DR, STE 104, KANSAS CITY, MO 64114-4855
(816) 942-0770
(816) 942-0668
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
MO
Other
Enumeration date
07/14/2005
Last updated
07/21/2022
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