Organization
COLON AND RECTAL SURGEONS OF KANSAS CITY, P.A.
Active
Organization
COLON AND RECTAL SURGEONS OF KANSAS CITY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE D GRAHAM M.D. (PRESIDENT)
(913) 677-4010
Entity
Organization
Contact information
Practice address
2750 CLAY EDWARDS DR, SUITE 508, NORTH KANSAS CITY, MO 64116-3237
(816) 842-5100
(913) 677-1164
Mailing address
8901 W 74TH ST, SUITE 149, SHAWNEE MISSION, KS 66204-2204
(913) 677-4010
(913) 677-1164
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R7G39
MO
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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