SUSAN L DASTA DO PC
Ambulatory Health at Delaware St, Kansas City, MO

License number
Missouri 2002019232
Category
Ambulatory Health
Type
Primary Care
Owner
Name: SUSAN L DASTA DO
Title: PRESIDENT
Phone: (816) 332-6767
Address
Address
304 Delaware St, Kansas City, MO 64105
National Provider ID: 1417243940
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SUSAN L DASTA DO PC at bizstanding.com

Susan L. Dasta, D.O., PC

304 Delaware St, Kansas City, MO 64105

Status:
Inactive
Registration:
Mar 10, 2011
State ID:
P01125627
Business type:
Professional Corporation
Expiration:
Perpetual
Agent:
Susan Dasta,1819 Baltimore #307, Kansas City, MO 64108 (Physical)

Ambulatory Health licenses in Missouri










Other Doctors licenses in Missouri