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Organization
OVERLAND PARK SURGICAL SPECIALTIES, LLC
Active
Organization
OVERLAND PARK SURGICAL SPECIALTIES, LLC
Active
Other names
College Park Family Care Center Physicians Group
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK CHAMBERS (ADMINISTRATOR)
(913) 469-0503
Entity
Organization
Contact information
Practice address
10600 MASTIN ST, OVERLAND PARK, KS 66212-5723
(913) 469-6447
Mailing address
PO BOX 741331, ATLANTA, GA 30374-1331
(913) 428-1500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/24/2008
Last updated
12/07/2016
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