Individual
DR. RICHARD JACOB FANTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-1340
(913) 588-6982
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-6982
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
036.142681
IL
208800000X
Urology Physician
Primary
04-46285
KS
Other
Enumeration date
06/17/2014
Last updated
09/19/2022
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