Dr. RICHARD JACOB FANTUS M.D.
Individual Provider (NPI-1)
Active
Urology
Provider Information
- NPI Number
1811301955- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 3901 RAINBOW BLVD, KANSAS CITY, KS, 661601340
- Phone
- (913) 588-6982
Specialties & Taxonomies
Urology
License: IL #036.142681
Urology
Primary License: KS #04-46285