Organization
BLUE VALLEY SURGICAL ASSOCIATES, LLC
Active
Organization
BLUE VALLEY SURGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS PALZER (OWNWE-CEO)
(913) 428-4723
Entity
Organization
Contact information
Practice address
2341 HIGHWAY K, SUITE 214, O FALLON, MO 63368-8604
(636) 542-6020
Mailing address
12920 METCALF AVE, STE 250, OVERLAND PARK, KS 66213-2699
(913) 428-4723
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015020560
MO
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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