Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 2012003523 | MO |
NPI | 1356549075 |
---|---|
Provider Name | Dr. Scott Alan Wingerter |
First Address | Leawood, KS 66211-1910 |
Second Address | Leawood, KS 66211-1910 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2007 |
Last Update Date | 05/04/2016 |