Provider First Line Business Practice Location Address:
2401 GILLHAM RD
Provider Second Line Business Practice Location Address:
ROOM 2501.12 DIVISION OF ORTHOPAEDIC SURGERY
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64108-4619
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-234-3693
Provider Business Practice Location Address Fax Number:
816-855-1993
Provider Enumeration Date:
05/01/2007