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Organization
APOLLO MEDICAL GROUP OF OVERLAND PARK LLC
Active
Organization
APOLLO MEDICAL GROUP OF OVERLAND PARK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN VAN SPRUNDEL (DIRECTOR OF ADMINISTRATION)
(941) 725-1198
Entity
Organization
Contact information
Practice address
6650 W 110TH ST STE 300, OVERLAND PARK, KS 66211-1546
(913) 469-6777
(913) 469-4046
Mailing address
PO BOX 3286, SPRINGFIELD, IL 62708-3286
(941) 360-1566
(941) 358-9818
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
05/15/2019
Last updated
04/05/2023
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