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Individual

DR. GEORGE E SPEER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
711 MARSHALL ST, LEAVENWORTH, KS 66048-3235
(816) 561-1025
Mailing address
12411 FLINT ST, OVERLAND PARK, KS 66213-2119
(913) 897-2186

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
05-20842
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000107276
BCBS
KS
05
100234780I
KS
05
10234780I
KS
01
P000471661
RR MCR GRP DH0925
KS
Enumeration date
02/15/2007
Last updated
06/11/2008
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