Individual
JONAS GUINTO BUSTOS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1005 NORTH B ST, HERINGTON, KS 67449
(785) 258-3705
(785) 258-3706
Mailing address
4600 COLLEGE BLVD, STE 103, OVERLAND PARK, KS 66211-1606
(913) 215-5008
(913) 297-1202
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0416653
KS
208D00000X
General Practice Physician
0416653
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001312
BCBS
—
05
—
100000370A
—
KS
01
—
828013454
MEDICARE TRAVELERS
—
Enumeration date
04/13/2006
Last updated
02/14/2019
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