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Organization

WESTGLEN ENDOSCOPY CENTER LLC

Active
Other names
Westglen Endoscopy Center
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization

Contact information

Practice address
16663 MIDLAND DR, SUITE 200, SHAWNEE, KS 66217-3042
(913) 248-8800
(913) 248-8858
Mailing address
16663 MIDLAND DR, SUITE 200, SHAWNEE, KS 66217-3042
(913) 248-8800
(913) 248-8858

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100318050C
KS
01
900404201
CRNA JAMES L. MATTINGLY
KS
01
900404202
CRNA CHRISTIAN E. JACKSON
KS
01
900404203
CRNA MARYELLEN WINTER
KS
01
900404204
ROBIN R. KROEGER CRNA
KS
01
900404205
MARY SUNSHINE
KS
Enumeration date
12/04/2009
Last updated
09/18/2023
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