Basic Information
Provider Information
NPI: 1902915721
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARROYO
FirstName: MICHAEL
MiddleName: ROBERT
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 901 E 104TH ST
Address2: MAILSTOP 400
City: KANSAS CITY
State: MO
PostalCode: 64131
CountryCode: US
TelephoneNumber: 8165999499
FaxNumber: 8169329670
Practice Location
Address1: 4320 WORNALL RD
Address2: SUITE 530
City: KANSAS CITY
State: MO
PostalCode: 641115941
CountryCode: US
TelephoneNumber: 8169322836
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/29/2006
LastUpdateDate: 11/13/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X2013028087MOY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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