Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Jun 7, 2016
License(s)
BP10056534 (TX), 04-44377 (KS)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3651 COLLEGE BLVD STE 100A | Leawood, KS 66211-1910 | 913-319-7500 |
| MAILING | 3651 COLLEGE BLVD STE 100A | Leawood, KS 66211-1910 | 913-319-7500 |
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