DERBY DERM

DERBY, KS
NPI1871771998
Entity TypeOrganization
Authorized ContactTIM WEIDE
President
316-788-3376
Organization Subpart ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KS  1500761)
Enumeration Date2008-01-31
Last Update Date2008-01-31
Business Address
DERBY DERM
1121 N COLLEGE PARK ST SUITE # 400
DERBY, KS 67037-3665
Phone number: 316-788-3376
Mailing Address
DERBY DERM
1121 N COLLEGE PARK ST SUITE # 400
DERBY, KS 67037-3665
Phone number: 316-788-3376
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