Individual
BENJAMIN DAVID FANGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2750 CLAY EDWARDS DR LOWR LEVEL, NORTH KANSAS CITY, MO 64116-3237
(816) 691-5216
(816) 346-7869
Mailing address
9411 N OAK TRFY STE LL1, KANSAS CITY, MO 64155-2262
(816) 691-1655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T0201
TX
207RH0003X
Hematology & Oncology Physician
Primary
2024024367
MO
207RH0003X
Hematology & Oncology Physician
T0201
TX
Other
Enumeration date
03/19/2018
Last updated
07/22/2024
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