Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 036.140675 | IL |
Y | 207YS0123X | Facial Plastic Surgeon | 2011016837 | MO |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 2015016359 | KS |
NPI | 1821376435 |
---|---|
Provider Name | Dr. Javier Cremer |
First Address | Merriam, KS 66204-2271 |
Second Address | Merriam, KS 66204-2271 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2011 |
Last Update Date | 17/03/2018 |