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Individual

THOMAS G. BRILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5721 W 119TH ST, OVERLAND PARK, KS 66209-3722
(816) 763-5446
Mailing address
10301 HICKMAN MILLS DR, 100, KANSAS CITY, MO 64137-1674
(816) 763-5446

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
04-24992
KS
207L00000X
Anesthesiology Physician
MD R3P74
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100141220B
KS
05
203052808
MO
Enumeration date
11/10/2005
Last updated
07/08/2007
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