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Dr. David Rene Mantilla, MD
Student in an Organized Health Care Education/Training Program in Lees Summit, Missouri
NPI 1598252835

David Rene Mantilla is a Student in an Organized Health Care Education/Training Program based in Overland Park, MO. David Rene Mantilla practices in Lees Summit, MO and has the professional credentials of MD. The NPI Number for David Rene Mantilla is 1598252835 and holds a License No. (Missouri).

The current practice location address for David Rene Mantilla is 2100 Se Blue Pkwy, Lees Summit, MO and can be reached out via phone at 816-282-5000.

Location: 2100 Se Blue Pkwy, Lees Summit, MO, 66209-3722
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598252835
Provider Name
David Rene Mantilla
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2100 Se Blue Pkwy, Lees Summit, MO, 66209-3722
Phone Number
816-282-5000
Fax Number
Provider Enumeration Date
04/20/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2100 Se Blue Pkwy
City
Lees Summit
State
Missouri
Zip
64063-1007
Phone Number
816-282-5000
Fax Number
person
Provider Business Mailing Address Details
Address
2100 Se Blue Pkwy
City
Lees Summit
State
Missouri
Zip
64063-1007
Phone Number
816-282-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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