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Individual

DR. FERNANDO ANTONIO MUJICA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3901 RAINBOW BLVD, MAIL STOP 1034, KANSAS CITY, KS 66160-7415
(913) 588-6670
(913) 588-3365
Mailing address
2407 W 49TH TER, WESTWOOD, KS 66205-1927
(816) 261-1777

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
04-39034
KS

Other

Enumeration date
04/21/2011
Last updated
06/23/2016
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