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Organization
POPULUS PHYSICIAN SERVICES, L.L.C.
Active
Organization
POPULUS PHYSICIAN SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE ROY STEVENS MBA, MSHS (ADMINISTRATOR)
(913) 708-1169
Entity
Organization
Contact information
Practice address
15710 W 135TH ST FL 2, OLATHE, KS 66062-1511
(913) 708-1169
Mailing address
PO BOX 8686, PRAIRIE VILLAGE, KS 66208-0686
(913) 708-1169
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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