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Organization
THE OVERLAND PARK KS ENDOSCOPY ASC LLC
Active
Organization
THE OVERLAND PARK KS ENDOSCOPY ASC LLC
Active
Other names
Endoscopic Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
10200 W 105TH ST, OVERLAND PARK, KS 66212-5750
(913) 492-0800
(913) 492-2432
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 665-1283
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S046017
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100405740B
—
KS
Enumeration date
02/20/2006
Last updated
11/23/2022
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