| Larry Nussbaum, MD | |
|
2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | |
| (816) 407-2038 | |
| (816) 792-7135 |
| Full Name | Larry Nussbaum |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 2525 Glenn Hendren Dr, Liberty, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316967417 | NPI | - | NPPES |
| 300089672 | Other | MO | RAILROAD MEDICARE |
| 203473905 | Medicaid | MO | |
| 11184198 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | R5230 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Nussbaum, MD 9212 Nieman Rd, Overland Park, KS 66214-1868 Ph: (913) 599-6777 | Larry Nussbaum, MD 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 Ph: (816) 407-2038 |
Joseph Caresio, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-407-2038 | |
Randall C Newth, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-407-2038 Fax: 816-792-7135 | |
Mary E Macnaughton, MD Radiology Medicare: Medicare Enrolled Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-407-2038 Fax: 816-792-7135 | |
Dr. John Brian Pope, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn W Hendren Drive, Liberty, MO 64068 Phone: 816-407-2038 | |
Dr. Scott C Cozad, MD Radiology Medicare: Medicare Enrolled Practice Location: 2529 Glenn Hendren Dr, Suite G40, Liberty, MO 64068 Phone: 816-415-2147 Fax: 816-415-2158 | |
Timothy G Raveill, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-407-2038 Fax: 816-792-7135 |