Samuel O Fadare, Md, PA
NPI #1639287824 in Gladstone, Missouri
Provider Information
- NPI Number
- 1639287824
- Entity Type
- Organization
- Organization Name
- Samuel O Fadare, Md, PA
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Aug 28, 2006
- Last Updated
- Dec 8, 2020
Practice Location
Authorized Official
- Name
- SAMUEL O FADARE JR., MD
- Title
- OWNER
- Phone
- (816) 225-6735
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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