| NPI | 1366632697 |
|---|---|
| Doing Business As | DERMATOLOGY AND SKIN CANCER CENTER - LEE'S SUMMIT |
| Entity Type | Organization |
| Authorized Contact | GLENN GOLDSTEIN Medical Director 913-451-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO R8C67) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2015-07-01 |