Individual
DR. GLENN SHIGEO HARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13450 S MOONLIGHT RD, OLATHE, KS 66061-9693
(913) 961-7075
Mailing address
13450 S MOONLIGHT RD, OLATHE, KS 66061-9693
(913) 961-7075
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
04-15456
KS
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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