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Organization

WIDE MISSOURI EMERGENCY PHYSICIANS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK J SLEPIN MD (PRESIDENT)
(469) 401-2386
Entity
Organization

Contact information

Practice address
3500 S 4TH ST, LEAVENWORTH, KS 66048-5043
(913) 680-6000
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
09/28/2011
Last updated
03/24/2014
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