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1164413167
THEODORE M. WHITAKER
OVERLAND PARK, KS
NPI
1164413167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO R1D87)
Enumeration Date
2005-10-31
Last Update Date
2018-03-17
Business Address
THEODORE M. WHITAKER DO
12140 NALL AVE STE 100
OVERLAND PARK, KS 66209-2504
Phone number: 816-943-0406
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Mailing Address
THEODORE M. WHITAKER DO
12140 NALL AVE STE 100
OVERLAND PARK, KS 66209-2504
Phone number: 816-943-0406
Copy
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