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Individual

EUGENE BORTNICK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5520 COLLEGE BLVD, SUITE 350, OVERLAND PARK, KS 66211-1630
(913) 663-5100
(913) 663-3354
Mailing address
5520 COLLEGE BLVD, SUITE 350, OVERLAND PARK, KS 66211-1630
(913) 663-5100
(913) 663-3354

Taxonomy

Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
04-25172
MO

Other

Enumeration date
04/17/2006
Last updated
07/09/2007
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