Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 2016008220 | MO |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 2016008220 | MO |
N | 2086S0105X | Surgery of the Hand | 2016008220 | MO |
NPI | 1770801839 |
---|---|
Provider Name | Christopher J Maugans |
First Address | Kansas City, MO 64131-4517 |
Second Address | Lee's Summit, MO 64086-2342 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2010 |
Last Update Date | 09/08/2019 |