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-- AULTON DALE CHISUM -- DO

Individual Provider (NPI-1) Active

Emergency Medicine

Provider Information

NPI Number
1437131208
Provider Type
Individual Provider (NPI-1)
Credentials
DO
Status
Active

Contact & Location

Address
1509 W TRUMAN RD EMERGENCY DEPARTMENT, INDEPENDENCE, MO, 640503436
Phone
(913) 469-1488
Fax
(913) 469-1441

Specialties & Taxonomies

Emergency Medicine Primary License: MO #2005026115
Emergency Medicine License: TX #F1449

All Addresses

LOCATION

1509 W TRUMAN RD EMERGENCY DEPARTMENT

INDEPENDENCE, MO, 640503436

(913) 469-1488

MAILING

15954 S BROUGHAM DR

OLATHE, KS, 660627044

(913) 780-6320