Organization
AMERICAN DERMATOLOGY ASSOCIATES, LLC
Active
Organization
AMERICAN DERMATOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BAUMGARTNER (ASSOCIATE ADMINISTRATOR)
(785) 354-8518
Entity
Organization
Contact information
Practice address
6333 LONG AVE, SUITE 360, SHAWNEE MISSION, KS 66216-2559
(913) 631-6330
(913) 631-6222
Mailing address
6333 LONG AVE, SUITE 360, SHAWNEE MISSION, KS 66216-2559
(913) 631-6330
(913) 631-6222
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/01/2006
Last updated
05/27/2008
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