Advanced Dermatologic Surgery, P.a.

NPI 1003016312 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1003016312
Enumeration Date 07/24/2007
Last Updated 11/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TIMOTHY L TIMOTHY
Position MEDICAL DIRECTOR
Phone (913) 661-1755
Fax (913) 661-9260
Practice Location
6901 W 121ST ST
OVERLAND PARK KS, 66209-2007, US
Phone (913) 661-1755
Fax (913) 661-9260
Business Location
6901 W 121ST ST
OVERLAND PARK KS, 66209-2007, US
Phone (913) 661-1755
Fax (913) 661-9260
Toxanomy
Taxonomy Code 291U00000X
License State Kansas
License Number 04-25136
Remove 1003016312 NPI Number
 

According to our database, Advanced Dermatologic Surgery, P.a. NPI is 1003016312, taxonomy code is 291U00000X and license number is 04-25136, license state is located at Kansas. Advanced Dermatologic Surgery, P.a. physically located at 6901 W 121st St, Overland Park KS, 66209-2007. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1003016312 NPI number is provided on an as is basis without warranty of any kind. 1003016312 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Dermatologic Surgery, P.a. are for informational purposes only.