Organization
CJP SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LEE SHUCART (BUSINESS MANAGER)
(913) 627-9100
Entity
Organization
Contact information
Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(816) 698-8150
(816) 698-8165
Mailing address
9117 DELMAR ST, PRAIRIE VILLAGE, KS 66207-2660
(913) 627-9100
(913) 627-9101
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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