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Individual

BENJAMIN THOMAS SUNDLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204
(913) 676-2214
Mailing address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2214

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
05-40859
KS
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/08/2014
Last updated
06/29/2021
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