| NPI | 1902099500 |
|---|---|
| Doing Business As | SUMMIT SKIN AND VEIN CARE |
| Entity Type | Organization |
| Authorized Contact | BRUCE E FEARON Owner / President 816-554-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 102868) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2022-09-16 |