Organization
JASON WILTSHIRE, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON PAUL WILTSHIRE M.D. (OWNER)
(501) 315-7874
Entity
Organization
Contact information
Practice address
8919 PARALLEL PKWY, SUITE 206, KANSAS CITY, KS 66112-1636
(417) 825-8300
(501) 778-5993
Mailing address
8919 PARALLEL PKWY, SUITE 206, KANSAS CITY, KS 66112-1636
(417) 825-8300
(501) 778-5993
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E3347
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146948001
—
AR
Enumeration date
10/05/2007
Last updated
08/06/2009
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