NPI 1023697406

Impact Orthopedics & Sports Medicine, LLC

Organisation Orthopaedic Surgery Physician Prairie Village, KS

Practice location

Address: 5200 W 94th Ter STE 113, Prairie Village, KS 66207-2522
Phone: (913) 906-8640
Fax: (913) 906-8682

Authorised official

Name: Michael Gabriel Azzam
Title: Owner
Phone: (913) 906-8640

Registered specialties (2)

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X

Other Orthopaedic Surgery providers in Kansas →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Kansas →

Registry record

NPI: 1023697406
Entity type: Organization
NPI issued: 5 Apr 2021
Record last updated: 24 Dec 2021

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.