Provider First Line Business Practice Location Address:
4000 CAMBRIDGE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF SURGERY, M/S 2005
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66160
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-588-6124
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/29/2018