Individual
JOSEPH YASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 NE RALPH POWELL RD, SUITE C, LEES SUMMIT, MO 64064-2369
(816) 875-1105
(816) 875-1103
Mailing address
3600 NE RALPH POWELL RD, SUITE C, LEES SUMMIT, MO 64064-2369
(816) 875-1105
(816) 875-1103
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO R8168
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080117339
RAILROAD MEDICARE
MO
05
—
208457804
—
MO
Enumeration date
06/05/2006
Last updated
10/31/2007
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