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Organization

PHUONG LE VUONG MD AN OPERATING DIVISION OF PROVIDENCE MEDICAL CEN

Active
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Organization

PHUONG LE VUONG MD AN OPERATING DIVISION OF PROVIDENCE MEDICAL CEN

Active
Parent organization
PROVIDENCE MEDICAL CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
PROVIDENCE MEDICAL CENTER
Authorized official
MR. MICHAEL A DORSEY (CEO)
(913) 596-4000
Entity
Organization

Contact information

Practice address
8929 PARALLEL PKWY, KANSAS CITY, KS 66112-1689
(913) 596-4000
(913) 596-4098
Mailing address
PO BOX 12093, KANSAS CITY, KS 66112-0093
(913) 825-6500
(913) 328-7011

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
03/16/2009
Last updated
03/24/2009
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