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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