Organization
BLUE VALLEY ASC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS S FOXX MD (PRESIDENT/OWNER)
(913) 626-4633
Entity
Organization
Contact information
Practice address
12800 METCALF AVENUE SUITE 2, OVERLAND PARK, KS 66213
(913) 626-4633
Mailing address
12800 METCALF AVE STE 2, OVERLAND PARK, KS 66213-2607
(913) 626-4633
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
4722856
KS
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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