Organization
MISSION MEDICAL GROUP OF KANSAS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH M GALLUP M.D. (MEDICAL DIRECTOR)
(866) 662-4560
Entity
Organization
Contact information
Practice address
2942B SW WANAMAKER DRIVE, TOPEKA, KS 66614
(866) 662-4560
(877) 279-9425
Mailing address
45 M AIN STREET, SUITE 408, BROOKLYN, NY 11201
(866) 662-4560
(877) 279-9425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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