Individual
JACE W. HYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2237 KEYSTONE CIR STE C, ANDOVER, KS 67002-8742
(316) 687-1090
(316) 687-2234
Mailing address
2237 KEYSTONE CIR STE C, ANDOVER, KS 67002-8742
(316) 687-1090
(316) 687-2234
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04-22203
KS
208C00000X
Colon & Rectal Surgery Physician
04-22203
KS
Other
Enumeration date
07/08/2006
Last updated
06/20/2023
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