Provider Demographics
NPI:1144475294
Name:DITIRRO, FRANK JERAULD (PHD, MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:JERAULD
Last Name:DITIRRO
Suffix:
Gender:M
Credentials:PHD, MD
Other - Prefix:
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Mailing Address - Street 1:7311 W 132ND ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-1118
Mailing Address - Country:US
Mailing Address - Phone:816-352-0537
Mailing Address - Fax:
Practice Address - Street 1:7311 W 132ND ST
Practice Address - Street 2:SUITE 200
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-1118
Practice Address - Country:US
Practice Address - Phone:816-352-0537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO104223207RP1001X
KS04-25427207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease