Organization
GENERAL SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA M ROLLO (MANAGER)
(785) 842-6644
Entity
Organization
Contact information
Practice address
346 MAINE ST, LAWRENCE, KS 66044-1359
(785) 842-6644
(785) 842-0348
Mailing address
346 MAINE ST, LAWRENCE, KS 66044-1359
(785) 842-6644
(785) 842-0348
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
KS
Other
Enumeration date
06/30/2005
Last updated
07/21/2022
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