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Individual

SOCRATES C. JAMOULIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9501 N OAK TRFY, #100, KANSAS CITY, MO 64155-2256
(816) 455-0661
(816) 454-1080
Mailing address
PO BOX 414975, KANSAS CITY, MO 64141-4975
(816) 455-0661
(816) 454-1080

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
143388
MO
2085R0202X
Diagnostic Radiology Physician
23369
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100124320C
KS
05
204795108
MO
01
2267634
AETNA
01
26323071
BCBS
MO
Enumeration date
11/22/2005
Last updated
09/28/2010
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