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Organization

CHARLES E. BARE II, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES E BARE II M.D. (PRESIDENT)
(913) 362-6781
Entity
Organization

Contact information

Practice address
6909 SANTA FE DR, OVERLAND PARK, KS 66204-1357
(913) 362-6781
(913) 362-8646
Mailing address
PO BOX 2407, MISSION, KS 66201-2407
(913) 362-6781
(913) 362-8646

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0414404
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
620316
BLUE CROSS BLUE SHIELD
KS
Enumeration date
10/22/2009
Last updated
03/10/2010
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