Organization
JOSEPH B. PETELIN, M.D., CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH B. PETELIN M.D. (OWNER OF THE PRACTICE)
(913) 432-5420
Entity
Organization
Contact information
Practice address
9119 W 74TH ST, SUITE 255, SHAWNEE MISSION, KS 66204-2236
(913) 432-5420
(913) 432-7749
Mailing address
9119 W 74TH ST, SUITE 255, SHAWNEE MISSION, KS 66204-2236
(913) 432-5420
(913) 432-7749
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
417417
KS
Other
Enumeration date
09/21/2006
Last updated
08/22/2020
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