Organization
ADVANCED DERMATOLOGIC SURGERY, P.A.
Active
Organization
ADVANCED DERMATOLOGIC SURGERY, P.A.
Active
Other names
Advanced Dermatologic Surgery, Trinity Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG ALBERS MPA (CFO)
(913) 661-1755
Entity
Organization
Contact information
Practice address
6901 W 121ST ST, OVERLAND PARK, KS 66209-2007
(913) 661-1755
(913) 661-9260
Mailing address
6901 W 121ST ST, OVERLAND PARK, KS 66209-2007
(913) 661-1755
(913) 661-9260
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
04-25136
KS
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
04-25136
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17D0890923
CLIA #
—
Enumeration date
07/24/2007
Last updated
06/03/2022
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