Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 110277 | MO |
NPI | 1174580088 |
---|---|
Provider Name | Dr. Gregory Alan Ator |
First Address | Kansas City, MO 64141-1851 |
Second Address | Kansas City, KS 66160-8500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 29/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100133540B | (05) | KS |
203436209 | (05) | MO |
F26061 | (02) |