JAMES MIRABILE MD PA NPI 1972656528

NPI Information

JAMES MIRABILE MD PA is a health service clinic center in Overland Park, KS. JAMES MIRABILE MD PA NPI is 1972656528. The provider is registered as an organization entity type.
The provider Is Doing Business As For Women Only.

The provider's business location address is:

10600 QUIVIRA RD
SUITE 110
OVERLAND PARK, KS
ZIP 66215-309
Phone: (913) 541-9495
Fax: (913) 438-8410

The provider's authorized official is Heather Willming .
The authorized official title is Office Manager and has the following contact phone number (913) 541-9495.

The CLIA number assigned to this NPI record is 17D0985040 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/18/2007 and was last updated on 12/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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