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Organization
COLLEGE PARK FAMILY CARE CENTER, P.A.
Active
Organization
COLLEGE PARK FAMILY CARE CENTER, P.A.
Active
Other names
College Park Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK CHAMBERS (ADMINISTRATOR)
(913) 469-0503
Entity
Organization
Contact information
Practice address
11755 W 112TH ST, STE. 101, OVERLAND PARK, KS 66210-2761
(913) 469-0503
(913) 338-1311
Mailing address
11755 W 112TH ST, STE. 101, OVERLAND PARK, KS 66210-2761
(913) 469-0503
(913) 338-1311
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/22/2007
Last updated
08/10/2007
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