NPI 1063449288

Mark R Neustrom, DO

Practitioner Allergy & Immunology Physician Overland Park, KS

Practice location

Address: 8675 College Blvd STE 200, Overland Park, KS 66210
Phone: (913) 491-5501
Fax: (913) 491-8901

Registered specialties (2)

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 25074 (KS)

Other Allergy & Immunology providers in Kansas →

Allergy & Immunology Physician

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 105826 (MO)

Registry record

NPI: 1063449288
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jun 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.