Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 2012016003 | MO |
NPI | 1366414971 |
---|---|
Provider Name | Naomi Wahl |
First Address | Kansas City, MO 64180-1143 |
Second Address | Cape Girardeau, MO 63703-5049 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2006 |
Last Update Date | 25/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0503706 | (05) | IA |
0703687 | MEDICA (01) | SD |
10025040700 | (05) | NE |
1366414971 | (05) | MO |
23737 | MIDLANDS CHOICE (01) | SD |
25421 | SANFORD HEALTH PLAN (01) | SD |
283761017548 | PREFERRED ONE (01) | SD |
361R1WA | BLUE CROSS (01) | MN |
361R1WA | CC SYSTEMS/BLUE PLUS (01) | MN |
38022 | BLUE CROSS (01) | IA |
4260 | DAKOTACARE (01) | SD |
4995764 | BLUE CROSS (01) | SD |
57105AD02 | WPS TRICARE (01) | SD |
6630360 | (05) | SD |
768489 | ARAZ/ AMERICA'S PPO (01) | SD |
939216500 | (05) | MN |
HP24640 | HEALTHPARTNERS (01) | SD |