Individual
DR. DAUT S GJONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 E EVERGREEN ST, SUITE A, CAMERON, MO 64429-2400
(816) 649-0500
(816) 649-0049
Mailing address
1600 E EVERGREEN ST, SUITE A, CAMERON, MO 64429-2400
(816) 649-0500
(816) 649-0049
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD11432
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203949102
—
MO
01
—
27544011
BLUE CROSS BLUE SHIELD
MO
Enumeration date
10/04/2006
Last updated
12/09/2008
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