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Organization

GENESIS PLASTIC SURGERY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRED E THOMPSON MD (OWNER)
(816) 781-3371
Entity
Organization

Contact information

Practice address
100 WESTWOODS DR, LIBERTY, MO 64068
(816) 781-3371
(816) 781-5167
Mailing address
100 WESTWOODS DR, LIBERTY, MO 64068
(816) 781-3371
(816) 781-5167

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Enumeration date
02/21/2007
Last updated
08/22/2020
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