Organization
PRECISION SKIN CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE CUSICK (VP OPERATIONS)
(816) 294-6156
Entity
Organization
Contact information
Practice address
1709 W 7TH ST, CHANUTE, KS 66720-2505
(620) 431-4815
(785) 749-3612
Mailing address
805 NEW HAMPSHIRE ST STE C, LAWRENCE, KS 66044-2774
(816) 294-6156
(785) 749-3612
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
2085R0001X
Radiation Oncology Physician
—
—
Other
Enumeration date
10/13/2019
Last updated
10/13/2019
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