Organization
PATHEOUS MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORREY TRUPP (CHIEF OPERATING OFFICER)
(913) 233-6307
Entity
Organization
Contact information
Practice address
6601 COLLEGE BLVD STE 120, LEAWOOD, KS 66211-1504
(913) 233-6307
Mailing address
6601 COLLEGE BLVD STE 120, LEAWOOD, KS 66211-1504
(913) 233-6307
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
10/21/2024
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