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Organization

MID-AMERICA UROLOGY, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BILLY B PERRY MD (OWNER)
(913) 948-8365
Entity
Organization

Contact information

Practice address
1000 CARONDELET DR, ST JOSEPH MEDICAL CENTER, KANSAS CITY, MO 64114-4673
(816) 942-4400
Mailing address
10550 QUIVIRA RD, STE 270, OVERLAND PARK, KS 66215-2306
(913) 948-8365
(913) 541-1034

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100363600A
KS
05
501412308
MO
01
CS3061
RAILROAD MEDICARE
Enumeration date
01/08/2007
Last updated
11/14/2014
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