Individual
DR. LEONID SHUNYAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 N OAKLAND AVE, BOLIVAR, MO 65613-3020
(417) 326-7200
(417) 326-7201
Mailing address
PO BOX 256, SALINA, KS 67402-0256
(785) 823-0633
(785) 823-0658
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
04-31660
KS
207RH0003X
Hematology & Oncology Physician
2005002905
MO
207RX0202X
Medical Oncology Physician
04-31660
KS
207RX0202X
Medical Oncology Physician
Primary
2005002905
MO
Other
Enumeration date
04/13/2006
Last updated
10/10/2024
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