Organization
UROLOGIC SURGERY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY E DAVIS MD (MD / OWNER)
(816) 931-8859
Entity
Organization
Contact information
Practice address
4321 WASHINGTON, STE 4100, KANSAS CITY, MO 64111
(816) 931-8859
(816) 931-5949
Mailing address
10550 QUIVIRA RD, STE 105, OVERLAND PARK, KS 66215-2306
(913) 438-3833
(913) 438-3832
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
N/A
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504952003
—
KS
05
—
504952011
—
MO
Enumeration date
09/15/2006
Last updated
12/15/2009
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