Basic Information
| Provider Information | |||||||||
| NPI: | 1740416023 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RARICK | ||||||||
| FirstName: | JASON | ||||||||
| MiddleName: | MICHAEL | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7301 COLLEGE BLVD | ||||||||
| Address2: | SUITE 110 | ||||||||
| City: | OVERLAND PARK | ||||||||
| State: | KS | ||||||||
| PostalCode: | 662101937 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9133416297 | ||||||||
| FaxNumber: | 9133416299 | ||||||||
| Practice Location | |||||||||
| Address1: | 7301 COLLEGE BLVD | ||||||||
| Address2: | SUITE 110 | ||||||||
| City: | OVERLAND PARK | ||||||||
| State: | KS | ||||||||
| PostalCode: | 662101937 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9133416297 | ||||||||
| FaxNumber: | 9133416299 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/01/2009 | ||||||||
| LastUpdateDate: | 03/08/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZP0102X | 04-37149 | KS | Y | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology |
No ID Information.