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1114505419
PHILIP RUSSO PETROSKY
OVERLAND PARK, KS
NPI
1114505419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: KS 0549995)
Enumeration Date
2021-03-30
Last Update Date
2024-09-27
Business Address
PHILIP RUSSO PETROSKY DO
10500 QUIVIRA RD
OVERLAND PARK, KS 66215-2306
Phone number: 913-541-5000
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Mailing Address
PHILIP RUSSO PETROSKY DO
12200 W 106TH ST STE 325
OVERLAND PARK, KS 66215-2305
Phone number: 913-541-6022
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