Individual
CHARLES R HOLBROOK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4501 COLLEGE BOULEVARD, SUITE 300, LEAWOOD, KS 66211
(913) 451-4776
(913) 451-4770
Mailing address
4501 COLLEGE BOULEVARD, SUITE 300, LEAWOOD, KS 66211
(913) 451-4776
(913) 451-4770
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MDR3J63
MO
Other
Enumeration date
07/20/2005
Last updated
07/08/2007
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