Organization
JOHNSON COUNTY OB-GYN CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN STACK (OFFICE MANAGER)
(913) 236-1134
Entity
Organization
Contact information
Practice address
7440 FRONTAGE RD, MERRIAM, KS 66203-4670
(913) 236-6455
(913) 236-1111
Mailing address
7440 FRONTAGE RD, MERRIAM, KS 66203-4670
(913) 236-6455
(913) 236-6678
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
04/04/2012
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