Organization
DERMATOLOGY AND SKIN CANCER SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN D GOLDSTEIN M.D. (PRESIDENT)
(913) 451-7546
Entity
Organization
Contact information
Practice address
11550 GRANADA LN, LEAWOOD, KS 66211-1453
(913) 451-7546
Mailing address
11550 GRANADA LN, LEAWOOD, KS 66211-1453
(913) 451-7546
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/19/2006
Last updated
07/01/2015
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