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Organization

COLLEGE PARK FAMILY CARE CENTER PA

Active
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Organization

COLLEGE PARK FAMILY CARE CENTER PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHUCK O. CHAMBERS (ADMINISTRATOR)
(913) 469-0503
Entity
Organization

Contact information

Practice address
11755 W 112TH ST, SUITE 101, OVERLAND PARK, KS 66210-2761
(913) 469-0503
(913) 338-1311
Mailing address
11755 W 112TH ST, SUITE 101, OVERLAND PARK, KS 66210-2761
(913) 469-0503
(913) 338-1311

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—

Other

Enumeration date
05/01/2006
Last updated
03/26/2010
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