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NPI Code Detail

MEDICARE: DR. RYAN DANIEL SPURGEON D.C.

MEDICARE: DR. RYAN DANIEL SPURGEON D.C.
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
1111N00000XChiropractorCHIR008723GA
2111N00000XChiropractor1883NM

General Provider Information

NPI Number : 1518236009
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RYAN DANIEL SPURGEON D.C.
Provider Business Mailing Address
First Line : 12109 GRANADA ST
Second Line : APT 1113
City : OVERLAND PARK
State : KS
Zip : 66209-4224
Country : US
Telephone Number : 913-353-6655
Fax Number :
Provider Business Practice Location Address
First Line : 450 E SANTA FE ST
Second Line : STE 107
City : OLATHE
State : KS
Zip : 66061-3457
Country : US
Telephone Number : 913-353-6655
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2011
Last Update Date : 12/07/2016

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