Individual
SETH MARCUS OLIPHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4400 BROADWAY, SUITE 540, KANSAS CITY, MO 64111-3498
(816) 931-3013
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131-4517
(816) 502-8755
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
04-38924
KS
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2016012362
MO
Other
Enumeration date
04/04/2011
Last updated
12/05/2017
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