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Individual

TRYSTAN J CROOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
11725 W 112TH ST, OVERLAND PARK, KS 66210-2761
(913) 469-5579
(913) 469-0824
Mailing address
PO BOX 741331, ATLANTA, GA 30374-1331
(913) 469-0503
(913) 469-5267

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0532425
KS
207Q00000X
Family Medicine Physician
2004017424
MO

Other

Enumeration date
10/05/2005
Last updated
02/09/2022
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