Samuel O Fadare, MD, PA
Samuel O Fadare, MD, PA is an Adult Mental Health Clinic/Center in Gladstone, Missouri. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5604 NE Antioch RdGladstone, MO 64119-2327
Phone: (660) 372-1313
Fax: (660) 372-1339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Mental Health Clinic/Center (primary) | Taxonomy 261QM0850X |
|---|
Record details
| NPI number | 1639287824 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Samuel Fadare — Owner · (816) 225-6735 |
| Other names | Samuel O Fadare, Md, Pc; Samuel O Fadare, Md, Pc |
| NPI enumerated | August 28, 2006 |
| Last updated in NPPES | December 8, 2020 |
| Certification date | December 8, 2020 |
| Mailing address | 1513 Union Ave Ste 2500, Moberly, MO 65270-9412 |
Other providers in Gladstone
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Northland Psychological Assessment Services, LLC
6812 N Oak Trfy Ste 1, Gladstone, MO 64118-2537 · (816) 436-0371