Provider Demographics
NPI:1184913923
Name:BOZARTH, ANDREW LUCAS (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:LUCAS
Last Name:BOZARTH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5701 W 119TH ST STE 320
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66209-3721
Mailing Address - Country:US
Mailing Address - Phone:913-253-3070
Mailing Address - Fax:913-345-4852
Practice Address - Street 1:5844 NW BARRY RD
Practice Address - Street 2:STE 300
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64154-1465
Practice Address - Country:US
Practice Address - Phone:816-404-4175
Practice Address - Fax:816-404-0003
Is Sole Proprietor?:No
Enumeration Date:2011-04-01
Last Update Date:2024-12-26
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Provider Licenses
StateLicense IDTaxonomies
MO2013021737207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine