Individual
OMAR NUNEZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 983-6875
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 983-6875
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
BP10046337
TX
2086S0120X
Pediatric Surgery Physician
Primary
2020013076
MO
Other
Enumeration date
09/24/2013
Last updated
08/04/2020
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