A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Sonography Radiologic Technologist |
2471S1302X | |||
Surgery |
208600000X | 02 | Physician/General Surgery | |
Vascular Sonography Radiologic Technologist |
2471V0105X |
| NPI Number | 1275611444 |
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| LBN Legal business name | VEIN CLINIC OF GREATER KANSAS CITY, P.A. | ||||||||||||||||||||||||||||||||||||||||||||||||
| Authorized official | DAPHENE ROORDA - (OFFICE MNAGER) | ||||||||||||||||||||||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||||||||||||||||||||||||||
| Enumeration date | 11/02/2006 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Last updated | 12/10/2020 - About 5 years ago | ||||||||||||||||||||||||||||||||||||||||||||||||
| Identifiers |
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