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1407812910
WILLIAM IAN DOUGLAS
KANSAS CITY, MO
NPI
1407812910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: TX M8634)
Enumeration Date
2006-04-24
Last Update Date
2022-07-21
Business Address
-- WILLIAM IAN DOUGLAS MD
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone number: 816-234-3000
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Mailing Address
-- WILLIAM IAN DOUGLAS MD
2401 GILLHAM RD. PROVIDER ENROLLMENT
KANSAS CITY, MO 64108-4619
Phone number: 816-701-5200
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