Organization
HEAD AND NECK SURGICAL ASSOCIATES OF LEES SUMMIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD BOOTH (MANAGER)
(816) 875-2604
Entity
Organization
Contact information
Practice address
3340 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2368
(816) 875-2604
Mailing address
3340 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2368
(816) 875-2604
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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