Organization
S&S INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA RENE STAFOS APRN (OWNER)
(913) 669-9303
Entity
Organization
Contact information
Practice address
11791 W 112TH ST, SUITE 100, OVERLAND PARK, KS 66210-2737
(913) 888-3338
Mailing address
11791 W 112TH ST, SUITE 100, OVERLAND PARK, KS 66210-2737
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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