Organization
VEIN DOCTOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY RAVEILL MD (PRESIDENT)
(913) 599-6777
Entity
Organization
Contact information
Practice address
2529 GLENN HENDREN DR STE G60, LIBERTY, MO 64068-9607
(816) 792-1188
Mailing address
8000 W 110TH ST, OVERLAND PARK, KS 66210-2338
(913) 599-6777
(913) 599-3955
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
07/07/2006
Last updated
08/20/2015
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