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Individual

DR. J. BRANTLEY THRASHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3901 RAINBOW BLVD., DEPT. OF UROLOGY, MAIL STOP 3016, KANSAS CITY, KS 66160
(913) 588-6152
(913) 588-7625
Mailing address
3901 RAINBOW BLVD., 4070 DELP MAIL STOP 4017, KANSAS CITY, KS 66160
(913) 588-6152
(913) 588-7625

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
04-27596
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25160037
BCBS KANSAS CITY
MO
01
668750
FIRSTGUARD
KS
Enumeration date
09/22/2006
Last updated
07/09/2007
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