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Organization

COLLEGE PARK FAMILY CARE CENTER, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHUCK CHAMBERS (ADMINISTRATOR)
(913) 469-0503
Entity
Organization

Contact information

Practice address
10590 BARKLEY ST, OVERLAND PARK, KS 66212-1811
(913) 498-8120
Mailing address
11755 W 112TH ST, STE 203, OVERLAND PARK, KS 66210-2761
(913) 469-0503

Taxonomy

Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary

Other

Enumeration date
08/10/2007
Last updated
08/10/2007
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