Individual provider · Type 1 NPI

Marissa Dorau, PA-C

Medical Physician Assistant · Kansas City, KS

NPI number 1114279965 Active

Practice location

2040 Hutton Rd
Kansas City, KS 66109-4526

Fax (913) 721-3316

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA160132 (OR)
Medical Physician Assistant Primary 363AM0700X15-02876 (KS)

Medical Physician Assistant: Definition to come...

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About NPI 1114279965

Marissa Dorau, PA-C's National Provider Identifier is 1114279965, issued on Oct 3, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Kansas City, KS. The record was last updated on Mar 19, 2024.