Organization
YURI TSIRULNIKOV DO MHA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YURI TSIRULNIKOV DO (OWNER)
(319) 541-5940
Entity
Organization
Contact information
Practice address
2525 GLENN HENDREN DR, LIBERTY, MO 64068-9625
(816) 781-7200
Mailing address
5624 W 134TH TER APT 1435, OVERLAND PARK, KS 66209-4056
(319) 541-5940
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2008010728
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008010728
MO LICENSE
MO
Enumeration date
06/20/2008
Last updated
08/18/2010
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