Individual
MR. PAUL SALVADOR FUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4001 BLUE PARKWAY, SUITE 300, KANSAS CITY, MO 64130
(816) 922-7267
Mailing address
1501 NE 94TH ST, KANSAS CITY, MO 64155
(816) 468-9556
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2000174624
MO
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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