Provider Demographics
NPI:1952303109
Name:VOSHALL, DAVID L (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:L
Last Name:VOSHALL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:205 NW R D MIZE RD STE 400
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64014-2520
Mailing Address - Country:US
Mailing Address - Phone:816-228-9841
Mailing Address - Fax:816-228-8667
Practice Address - Street 1:205 NW RD MIZE RD
Practice Address - Street 2:STE 400
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64014
Practice Address - Country:US
Practice Address - Phone:816-228-9841
Practice Address - Fax:816-228-8667
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO35929207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
11190OtherUNITED HEALTH CARE
P00455133OtherRAILROAD MEDICARE
1952303109OtherTRICARE
1858570OtherCIGNA
1952303109OtherCOVENTRY
MO1009404OtherAETNA
10529075OtherBCBS OF KANSAS CITY
1952303109OtherCOVENTRY
1952303109OtherTRICARE