Organization
SURGERY CENTER OF BLUE VALLEY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID B LAHA DPM (MEDICAL DIRECTOR)
(913) 338-4440
Entity
Organization
Contact information
Practice address
7230 WEST 129TH STREET, OVERLAND PARK, KS 66213-2624
(913) 338-4440
(913) 338-1712
Mailing address
7230 WEST 129TH STREET, OVERLAND PARK, KS 66213-2624
(913) 338-4440
(913) 338-1712
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91361018
BCBS
—
Enumeration date
11/30/2006
Last updated
04/12/2008
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