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Organization
PRIMARY CARE PLUS OF LEAWOOD LLC
Active
Organization
PRIMARY CARE PLUS OF LEAWOOD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETHAN C RICHARD DO (PARTNER)
(913) 428-8000
Entity
Organization
Contact information
Practice address
4900 W 135TH ST, SUITE 190A, LEAWOOD, KS 66224-8900
(913) 428-8000
(913) 428-8001
Mailing address
4900 W 135TH ST, SUITE 190A, LEAWOOD, KS 66224-8900
(913) 428-8000
(913) 428-8001
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
03/10/2011
Last updated
05/19/2011
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