Organization
MIDAMERICA PLASTIC SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME P LAMB M.D. (PRESIDENT)
(816) 795-5262
Entity
Organization
Contact information
Practice address
4820 S ARROWHEAD DR, INDEPENDENCE, MO 64055-6980
(816) 795-5262
(816) 795-8979
Mailing address
4820 S ARROWHEAD DR, INDEPENDENCE, MO 64055-6980
(816) 795-5262
(816) 795-8979
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
85-4
MO
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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