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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