Individual
ROBERT V SPAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4320 WORNALL RD, STE 512, KANSAS CITY, MO 64111-5941
(816) 932-8663
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131-4517
(816) 502-8755
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
R9097
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932160942
—
MO
Enumeration date
03/29/2006
Last updated
12/01/2017
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