Individual
MARY M WURTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4911 S ARROWHEAD DR, SUITE 201, INDEPENDENCE, MO 64055-7005
(816) 478-8113
(816) 478-8108
Mailing address
4911 S ARROWHEAD DR, SUITE 201, INDEPENDENCE, MO 64055-7005
(816) 478-8113
(816) 478-8108
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
R8G42
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203414800
—
MO
01
—
73428017
BCBS KANSAS CITY
—
Enumeration date
07/11/2006
Last updated
01/20/2022
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