Organization
JOHNSON COUNTY PEDIATRICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY M TYSON MD (PEDIATRICIAN/PARTNER)
(913) 384-5500
Entity
Organization
Contact information
Practice address
8800 W 75TH STREET, SUITE 220, MERRIAM, KS 66204
(913) 384-5500
(913) 384-5209
Mailing address
8800 W 75TH STREET, SUITE 220, MERRIAM, KS 66204
(913) 384-5500
(913) 384-5209
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/22/2006
Last updated
05/31/2012
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