Individual
DAMON MICHAEL HEYBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 ROCKCREEK PKWY, KANSAS CITY, MO 64117-2536
(816) 201-6215
Mailing address
3931 HOLMES ST, KANSAS CITY, MO 64110-1123
(816) 531-0415
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2006019875
MO
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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