Organization
OVERLAND PARK SURGICAL SPECIALTIES, LLC
Active
Other names
College Park Family Care Center Physicians Group
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK CHAMBERS (ADMINISTRATOR)
(913) 469-0503
Entity
Organization
Contact information
Practice address
15101 GLENWOOD AVE, STANLEY, KS 66223-3154
(913) 681-8866
Mailing address
PO BOX 741331, ATLANTA, GA 30374-1331
(913) 469-0503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/24/2008
Last updated
12/07/2016
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