| Populus Physician Services, L.l.c. | |
|
15710 W 135th St Fl 2 Olathe KS 66062-1511 | |
| (913) 708-1169 | |
| Not Available |
| Full Name | Populus Physician Services, L.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 15710 W 135th St Fl 2, Olathe, Kansas |
| Authorized Official Name and Position | Jamie Roy Stevens (ADMINISTRATOR) |
| Authorized Official Contact | 9137081169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Populus Physician Services, L.l.c. Po Box 8686 Prairie Village KS 66208-0686 Ph: (913) 708-1169 | Populus Physician Services, L.l.c. 15710 W 135th St Fl 2 Olathe KS 66062-1511 Ph: (913) 708-1169 |
| NPI Number | 1043736168 |
|---|---|
| Provider Enumeration Date | 08/21/2017 |
| Last Update Date | 08/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043736168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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