Individual
DR. OMAR VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2600 RUNNING HORSE ROAD, PLATTE CITY, MO 64079-9761
(816) 858-2200
(816) 858-3611
Mailing address
9411 N OAK TRFY, SUITE LL1, KANSAS CITY, MO 64155-2233
(816) 436-7072
(816) 436-2743
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2010013511
MO
Other
Enumeration date
06/04/2008
Last updated
09/01/2016
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