Organization
MIDWEST HEMORRHOID TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A MOULTON D.O. (PRESIDENT)
(913) 541-0600
Entity
Organization
Contact information
Practice address
11111 NALL AVE, SUITE 116, LEAWOOD, KS 66211-1620
(913) 451-0600
(913) 451-0601
Mailing address
11111 NALL AVE, SUITE 116, LEAWOOD, KS 66211-1620
(913) 451-0600
(913) 451-0601
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
05-30033
KS
Other
Enumeration date
05/31/2006
Last updated
04/10/2014
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