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Organization
HEAD AND NECK SURGICAL ASSOCIATES OF LEES SUMMIT LLC
Active
Organization
HEAD AND NECK SURGICAL ASSOCIATES OF LEES SUMMIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD BOOTH (MANAGER)
(816) 875-2604
Entity
Organization
Contact information
Practice address
3340 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2368
(816) 875-2604
Mailing address
3340 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2368
(816) 875-2604
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
NULL
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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