Organization
ALFRED GILGORE MEDICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED GILGORE D.O. (PHYSICIAN/PRESIDENT)
(913) 888-1133
Entity
Organization
Contact information
Practice address
9421 PFLUMM RD, LENEXA, KS 66215-3307
(913) 888-1133
Mailing address
9421 PFLUMM RD, LENEXA, KS 66215-3307
(913) 888-1133
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
15547
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03952017
BCBSKC
KS
01
—
5370000A
MEDICARE GROUP NUMBER
KS
Enumeration date
08/06/2007
Last updated
08/27/2007
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