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NPI Code Detail

MEDICARE: THOMAS JAMES MCQUILLAN III

MEDICARE:   THOMAS JAMES MCQUILLAN III
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician04-49651KS
2207XS0106XOrthopaedic Hand Surgery Physician04-49651KS

General Provider Information

NPI Number : 1295223915
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS JAMES MCQUILLAN III
Provider Business Mailing Address
First Line : 3901 RAINBOW BLVD # MS 3017
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-8500
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2060 W 39TH AVE
Second Line :
City : KANSAS CITY
State : KS
Zip : 66103-2943
Country : US
Telephone Number : 913-588-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2018
Last Update Date : 08/12/2024

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Directions to “ THOMAS JAMES MCQUILLAN III ” Practice Location

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