Individual
ARMANDO R FAVAZZA
Active
Individual
ARMANDO R FAVAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R4884
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102461
HEALTHLINK
MO
01
—
1545500
UNITED HEALTHCARE
MO
05
—
200465805
—
MO
01
—
2086351501
KANSAS MEDICAID
MO
01
—
3052
BLUE CHOICE/BLUE SHIELD
MO
Enumeration date
05/02/2006
Last updated
03/11/2020
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