Provider Demographics
NPI:1528259272
Name:ARMS, MARY ELIZABETH (DO)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:ELIZABETH
Last Name:ARMS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:BETH
Other - Last Name:ARMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:9605 NW 78TH ST
Mailing Address - Street 2:
Mailing Address - City:WEATHERBY LAKE
Mailing Address - State:MO
Mailing Address - Zip Code:64152-4207
Mailing Address - Country:US
Mailing Address - Phone:816-746-1352
Mailing Address - Fax:816-746-1352
Practice Address - Street 1:9605 NW 78TH ST
Practice Address - Street 2:
Practice Address - City:WEATHERBY LAKE
Practice Address - State:MO
Practice Address - Zip Code:64152-4207
Practice Address - Country:US
Practice Address - Phone:816-746-1352
Practice Address - Fax:816-746-1352
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1025662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
F20822Medicare UPIN