Organization
GENESIS PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK E. THOMPSON M.D. (OWNER)
(816) 781-3371
Entity
Organization
Contact information
Practice address
100 WESTWOODS DR., LIBERTY, MO 64068-1181
(816) 781-3371
Mailing address
100 WESTWOODS DR., LIBERTY, MO 64068-1181
(816) 781-3371
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
R8A10
MO
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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