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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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