| NPI | 1003016312 |
|---|---|
| Doing Business As | ADVANCED DERMATOLOGIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | GREG ALBERS CFO 913-661-1755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| Additional Taxonomies | 174400000X Specialist (Licence: KS 04-25136) |
| 291U00000X Clinical Medical Laboratory (Licence: KS 04-25136) | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2022-06-03 |