Individual
ANTHONY L. FANGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-0340
(816) 932-3148
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 502-8752
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-29712
KS
207R00000X
Internal Medicine Physician
2001010524
MO
208000000X
Pediatrics Physician
04-29712
KS
208000000X
Pediatrics Physician
2001010524
MO
208M00000X
Hospitalist Physician
Primary
2001010524
MO
208M00000X
Hospitalist Physician
429712
KS
Other
Enumeration date
06/21/2006
Last updated
12/21/2016
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