Lee's Summit Dermatology Associates I, Pc

NPI 1205972270 - Specialist - 174400000X

NPI Details
NPI 1205972270
Enumeration Date 01/29/2007
Last Updated 08/22/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GARY W GARY
Position OWNER
Phone (816) 525-8500
Fax (816) 525-0185
Practice Location
276 NE TUDOR RD
LEE'S SUMMIT MO, 64086-5696, US
Phone (816) 525-8500
Fax (816) 525-0185
Business Location
276 NE TUDOR RD
LEE'S SUMMIT MO, 64086-5696, US
Phone (816) 525-8500
Fax (816) 525-0185
Toxanomy
Taxonomy Code 174400000X
License State Missouri
License Number R9N60
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According to our database, Lee's Summit Dermatology Associates I, Pc NPI is 1205972270, taxonomy code is 174400000X and license number is R9N60, license state is located at Missouri. Lee's Summit Dermatology Associates I, Pc physically located at 276 Ne Tudor Rd, Lee's Summit MO, 64086-5696. NPI Number 1033115704 has the healthcare provider type.

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1205972270 NPI number is provided on an as is basis without warranty of any kind. 1205972270 is maintained by the National Plan & Provider Enumeration System. The contents of Lee's Summit Dermatology Associates I, Pc are for informational purposes only.