Organization
ADVANCED COSMETIC SURGERY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY D HALL M.D. (OWNER)
(913) 341-2188
Entity
Organization
Contact information
Practice address
11401 NALL AVE, LEAWOOD, KS 66211-1674
(913) 341-2188
(913) 341-0030
Mailing address
11401 NALL AVE, LEAWOOD, KS 66211-1674
(913) 341-2188
(913) 341-0030
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0426718
KS
Other
Enumeration date
03/21/2006
Last updated
08/22/2020
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