Individual
JOHN CALVIN IRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2000 SE BLUE PKWY, SUITE 270 B, LEES SUMMIT, MO 64063-1041
(816) 333-1919
(816) 333-2614
Mailing address
2000 SE BLUE PKWY, SUITE 270 B, LEES SUMMIT, MO 64063-1041
(816) 333-1919
(816) 333-2614
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
2004024406
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467575241
—
MO
05
—
200613650A
—
KS
05
—
200613650B
—
KS
Enumeration date
04/09/2007
Last updated
02/09/2022
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