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Individual
PHILLIP A. MUNOZ
Active
Individual
PHILLIP A. MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
04-19124
KS
207ZP0101X
Anatomic Pathology Physician
R2J39
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-19124
KANSAS LICENSE
KS
05
—
100124790F
—
KS
05
—
1124092804
—
MO
01
—
662000006
MEDICARE PTAN
MO
01
—
662A00007
MEDICARE PTAN
KS
01
—
R2J39
MO LICENSE
MO
Enumeration date
02/17/2006
Last updated
12/11/2013
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