Organization
MIDWEST SURGICAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACE W. HYDER M.D. (OWNER/MANAGER)
(316) 687-1090
Entity
Organization
Contact information
Practice address
2237 KEYSTONE CIR STE C, ANDOVER, KS 67002-8742
(316) 687-1090
(316) 687-2234
Mailing address
2237 KEYSTONE CIR STE C, ANDOVER, KS 67002-8742
(316) 687-1090
(316) 687-2234
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100306610A
—
KS
Enumeration date
07/08/2006
Last updated
06/20/2023
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