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Contact Information

PREMIER DERMATOLOGIC SURGERY, PA
12200 W 106TH ST
SUITE 210
OVERLAND PARK, KS66215-2300
 Phone: 913-327-1117
 Fax: 913-327-1119
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for PREMIER DERMATOLOGIC SURGERY, PA

NPI # 1487671384
LBN Legal business name PREMIER DERMATOLOGIC SURGERY, PA
Authorized official ELIZABETH SPENCERI - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/16/2006
Last updated 05/09/2008 - About 18 years ago
Identifiers
KS License # 30619
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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