Provider Demographics
NPI:1174587703
Name:QUIASON, ARTURO G (MD)
Entity type:Individual
Prefix:DR
First Name:ARTURO
Middle Name:G
Last Name:QUIASON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17221 E 23RD ST S
Mailing Address - Street 2:#206
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64057-1803
Mailing Address - Country:US
Mailing Address - Phone:816-373-1911
Mailing Address - Fax:
Practice Address - Street 1:17221 E 23RD ST S
Practice Address - Street 2:#206
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64057-1803
Practice Address - Country:US
Practice Address - Phone:816-373-1911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR75772084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO08275019OtherBCBSKC
MO123842OtherVALUEOPTIONS
MO123842OtherVALUEOPTIONS
MOC51805Medicare UPIN