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Individual

DR. FRANK JERAULD DITIRRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., M.D.

Contact information

Practice address
7311 W 132ND ST, SUITE 200, OVERLAND PARK, KS 66213-1118
(816) 352-0537
Mailing address
7311 W 132ND ST, SUITE 200, OVERLAND PARK, KS 66213-1118
(816) 352-0537

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
04-25427
KS
207RP1001X
Pulmonary Disease Physician
Primary
104223
MO

Other

Enumeration date
11/17/2008
Last updated
02/17/2009
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