COLLEGE PARK ANCILLARY, LLC

OVERLAND PARK, KS
NPI1508203241
Entity TypeOrganization
Authorized ContactTODD CARLON
Vice President
816-508-4090
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2013-06-03
Last Update Date2013-06-04
Business Address
COLLEGE PARK ANCILLARY, LLC
10600 MASTIN ST
OVERLAND PARK, KS 66212-5723
Phone number: 913-438-0868
Mailing Address
COLLEGE PARK ANCILLARY, LLC
11755 W 112TH ST SUITE 202
OVERLAND PARK, KS 66210-2742
Phone number: 913-469-0433
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