Individual
ADAM SUNTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
519 AVENIDA CESAR E CHAVEZ, KANSAS CITY, MO 64108-2133
(888) 913-1910
Mailing address
5620 NANTASKET CT, SAINT LOUIS, MO 63128-3367
(314) 795-6812
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2012001895
MO
163W00000X
Registered Nurse
RN9470890
FL
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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