Provider Demographics
NPI:1225034531
Name:TOWLE, DANA R (MD)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:R
Last Name:TOWLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4444 N BELLEVIEW AVE
Mailing Address - Street 2:STE 204
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-1507
Mailing Address - Country:US
Mailing Address - Phone:816-452-8080
Mailing Address - Fax:816-878-6055
Practice Address - Street 1:4444 N BELLEVIEW AVE
Practice Address - Street 2:STE 204
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-1507
Practice Address - Country:US
Practice Address - Phone:816-452-8080
Practice Address - Fax:816-878-6055
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR7J002082S0105X
KS04-232142082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO203043914Medicaid
E60374Medicare UPIN
MO203043914Medicaid