NPI 1104937507

Plaza Gastroenterology Associates, LLC

Organisation Specialist Overland Park, KS

Practice location

Address: 12330 Metcalf Ave STE 260, Overland Park, KS 66213-1302
Phone: (913) 491-9100
Fax: (913) 491-9135

Authorised official

Name: Richard S Hart
Title: President
Phone: (913) 491-9100

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1104937507
Entity type: Organization
NPI issued: 31 Aug 2006
Record last updated: 15 Feb 2008

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.