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Individual

MITCHELL DOUGLASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1301 N 47TH ST, KANSAS CITY, KS 66102-1705
(913) 563-6500
Mailing address
757 ARMSTRONG AVE, KANSAS CITY, KS 66101-2701
(913) 563-6500

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
04-33872
KS

Other

Enumeration date
12/11/2007
Last updated
08/18/2009
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