Organization
MID-AMERICA UROLOGY, PA
Active
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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