NPI 1487671384

Premier Dermatologic Surgery, PA

Organisation Dermatology Physician Overland Park, KS

Practice location

Address: 12200 W 106th St Suite 210, Overland Park, KS 66215-2300
Phone: (913) 327-1117
Fax: (913) 327-1119

Authorised official

Name: Elizabeth a Spenceri
Title: Medical Director
Phone: (913) 327-1117

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 30619 (KS)

Other Dermatology providers in Kansas →

Registry record

NPI: 1487671384
Entity type: Organization
NPI issued: 16 Jul 2006
Record last updated: 9 May 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.