Organization
PLASTIC SURGERY SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAMALIEL GO LOTUACO M.D. (PRESIDENT)
(816) 531-0453
Entity
Organization
Contact information
Practice address
8701 TROOST AVE, KANSAS CITY, MO 64131-2767
(816) 531-0453
(816) 531-2033
Mailing address
621 W 50TH ST, KANSAS CITY, MO 64112-2314
(816) 531-0453
(816) 531-2033
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
33133
MO
Other
Enumeration date
12/10/2007
Last updated
03/06/2009
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