# MIDWEST OBGYN, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366625493
- **Authorized official:** ERIC M. PECK MD (PRESIDENT)
- **Authorized official phone:** (913) 829-5656

## Contact information

- **Practice address:** 20375 W 151ST ST, SUITE 409, OLATHE, KS 66061-5350
- **Practice address phone:** (913) 829-5656
- **Practice address fax:** (913) 829-1513
- **Mailing address:** 20375 W 151ST ST, SUITE 409, OLATHE, KS 66061-5350
- **Mailing address phone:** (913) 829-5656
- **Mailing address fax:** (913) 829-1513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0420341 | KS | Yes |

## Other

- **Enumeration date:** 12/12/2007
- **Last updated:** 04/08/2008
