Provider Demographics
NPI:1942248216
Name:CONANT, JAMES FREDERICK (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:FREDERICK
Last Name:CONANT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2120 S RIVERSIDE RD
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64507-2535
Mailing Address - Country:US
Mailing Address - Phone:816-671-1331
Mailing Address - Fax:816-676-1311
Practice Address - Street 1:2120 S RIVERSIDE RD
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64507-2535
Practice Address - Country:US
Practice Address - Phone:816-671-1331
Practice Address - Fax:816-676-1311
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2008-06-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO35480207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO10986060OtherBLUE CROSS OF KANSAS CITY
080114529OtherRAILROAD MEDICARE
MO200593556Medicaid
MO200593556Medicaid
080114529OtherRAILROAD MEDICARE