Organization
MIAMI COUNTY SURGICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID EDWARD BROWN DO (PRESIDENT)
(913) 557-0700
Entity
Organization
Contact information
Practice address
2102 BAPTISTE DR, STE D, PAOLA, KS 66071-1314
(913) 557-0700
(913) 557-9088
Mailing address
2102 BAPTISTE DR, STE D, PAOLA, KS 66071-1314
(913) 557-0700
(913) 557-9088
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
KS0520825
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057860
MEDICARE
KS
05
—
100189880C
—
KS
01
—
120000760
RR MEDICARE
KS
05
—
241757137
—
MO
01
—
25661017
BCBS OF KC(GRP)
MO
01
—
25662025
BCBS OF KC(IND)
MO
Enumeration date
11/24/2009
Last updated
11/24/2009
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