Individual
DR. JON TONY MADEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5213 W 116TH ST, LEAWOOD, KS 66211-2042
(913) 499-6835
Mailing address
5213 W 116TH ST, LEAWOOD, KS 66211-2042
(913) 499-6835
(413) 235-6751
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
31322
KS
Other
Enumeration date
09/01/2006
Last updated
08/18/2007
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