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Individual

MAHALETWORK ASSEFA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
902 N RIVERSIDE RD STE 100, SAINT JOSEPH, MO 64507-2566
(816) 271-1241
(816) 279-7794
Mailing address
PO BOX 843966 DC043.00, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2015017112
MO
207RC0000X
Cardiovascular Disease Physician
Primary
2018015281
MO
208M00000X
Hospitalist Physician
2018015281
MO

Other

Enumeration date
06/05/2015
Last updated
07/25/2022
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