Individual
DR. DAVID RENE MANTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 NE RALPH POWELL RD STE D, LEES SUMMIT, MO 64064-2369
(816) 675-0920
Mailing address
3600 NE RALPH POWELL RD STE D, LEES SUMMIT, MO 64064-2369
(816) 675-0920
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
04-51707
KS
Other
Enumeration date
04/20/2018
Last updated
09/23/2025
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