Individual
DR. MARIVIC SUMULONG-TOMACRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4101 SOUTH 4TH TRAFFICWAY, LEAVENWORTH, KS 66048
(913) 682-2000
Mailing address
3605 W. 154TH STREET, LEAWOOD, KS 66224
(913) 239-0314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-26592
KS
Other
Enumeration date
06/15/2006
Last updated
08/14/2013
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