Organization
SHAWNEE ORAL SURGERY, LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP C GAUS (ORAL AND MAXILLOFACIAL SURGEON)
(785) 979-9494
Entity
Organization
Contact information
Practice address
6844 SILVERHEEL STREET, SHAWNEE, KS 66226-5300
(913) 948-7766
(913) 948-7769
Mailing address
6844 SILVERHEEL STREET, SHAWNEE, KS 66226-5300
(913) 948-7766
(913) 948-7769
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100224610F
—
KS
Enumeration date
08/31/2009
Last updated
07/01/2010
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