Organization
ULTREIA HEALTH P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ALLAN COCANOWER M.D. (PRESIDENT)
(913) 267-5100
Entity
Organization
Contact information
Practice address
11033 HAUSER ST, LENEXA, KS 66210-3708
(913) 267-5100
Mailing address
11033 HAUSER ST, LENEXA, KS 66210-3708
(913) 267-5100
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/09/2016
Last updated
09/20/2017
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