Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | 000000A79331 | CA |
Y | 207VX0201X | Gynecologic Oncologist | 2008007524 | MO |
NPI | 1558441725 |
---|---|
Provider Name | Mark Ira Hunter |
First Address | Kansas City, MO 64184-3966 |
Second Address | Columbia, MO 65212-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 06/02/2018 |