Provider Demographics
NPI:1932726494
Name:FAUROT, MARY PATRICIA (MD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:PATRICIA
Last Name:FAUROT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 843966
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64184-3966
Mailing Address - Country:US
Mailing Address - Phone:573-884-3300
Mailing Address - Fax:573-884-0943
Practice Address - Street 1:1125 MADISON ST
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65101-5227
Practice Address - Country:US
Practice Address - Phone:573-632-5510
Practice Address - Fax:573-632-5810
Is Sole Proprietor?:No
Enumeration Date:2020-07-01
Last Update Date:2024-09-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2024030816207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology