Individual
MR. MARK L CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FA
Contact information
Practice address
15242 W 82ND TER, LENEXA, KS 66219-1501
(913) 541-1228
(913) 439-1942
Mailing address
15242 W.82ND TERR, LENEXA, KS 66219
(913) 541-1228
(913) 439-1942
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
KS
Other
Enumeration date
06/22/2007
Last updated
07/10/2007
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