Individual
DR. JOHN FREDERICK EURICH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 SE BLUE PKWY, LEES SUMMIT, MO 64063-1007
(816) 282-5600
(816) 282-5602
Mailing address
5800 FOXRIDGE DR, STE 240, MISSION, KS 66202-2338
(913) 261-3153
(913) 262-3295
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-29494
KS
2085R0202X
Diagnostic Radiology Physician
Primary
2002002017
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100413740A
—
KS
05
—
100413740B
—
KS
05
—
205743008
—
MO
Enumeration date
06/14/2005
Last updated
05/06/2016
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