Individual
PETER EVANCIEW III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6700 ANTIOCH ROAD, SUITE 430, MERRIAM, KS 66204-1258
(888) 652-9225
Mailing address
6700 ANTIOCH ROAD, SUITE 430, MERRIAM, KS 66204-1258
(888) 652-9225
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2007004041
MO
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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