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Individual

DR. PETER JOSEPH CARUSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12330 METCALF AVE STE 420, OVERLAND PARK, KS 66213-1307
(913) 323-9000
(913) 323-9001
Mailing address
901 E. 104TH ST., MAILSTOP 400N, KANSAS CITY, MO 64131-9712
(816) 502-7104
(816) 932-9670

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
04-26869
KS
207V00000X
Obstetrics & Gynecology Physician
R4F52
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100123930B
KS
Enumeration date
09/15/2006
Last updated
02/27/2018
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