NPI 1003016312

Advanced Dermatologic Surgery, P.A.

Organisation MOHS-Micrographic Surgery Physician Overland Park, KS

Practice location

Address: 6901 W 121st St, Overland Park, KS 66209-2007
Phone: (913) 661-1755
Fax: (913) 661-9260

Authorised official

Name: Greg Albers
Title: Cfo
Phone: (913) 661-1755

Registered specialties (3)

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Other Dermatology providers in Kansas →

Specialist

Other Service Providers Taxonomy 174400000X Licence 04-25136 (KS)

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Clinical Medical Laboratory

Laboratories Taxonomy 291U00000X Licence 04-25136 (KS)

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Registry record

NPI: 1003016312
Entity type: Organization
NPI issued: 24 Jul 2007
Record last updated: 3 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.