Individual
MARY BUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 NE SAINT LUKES BLVD, SUITE 350, LEES SUMMIT, MO 64086-6001
(816) 347-5600
(816) 347-5674
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 347-5600
(816) 347-5674
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2004010995
MO
208M00000X
Hospitalist Physician
Primary
2004010995
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972542314
—
MO
Enumeration date
06/04/2006
Last updated
09/24/2019
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