Most Relevant Information
Provider Data
| NPI Number: | 1003349994 |
| Provider Name: | COLTON MICHAEL BITELY MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/06/2017 |
| Last Updated: | 07/23/2020 |
Provider Practice Location
2100 SE BLUE PKWY
LEES SUMMIT
MO
640631007
Practice Location Phone/Fax
| Phone: | 8162825000 |
| Fax: |
Provider Mailing Location
4249 W 124TH TER
LEAWOOD
KS
662092238
Provider Mailing Phone/Fax
| Phone: | 8704895656 |
| Fax: |