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Organization

PROGRESSIVE PRIMARY CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DOUGLAS S. ANDERSON MD (AUTHORIZED OFFICIAL)
(913) 754-4599
Entity
Organization

Contact information

Practice address
10777 NALL AVE, SUITE 140, OVERLAND PARK, KS 66211-1362
(913) 754-4599
(913) 754-3996
Mailing address
10777 NALL AVE, SUITE 140, OVERLAND PARK, KS 66211-1362
(913) 754-4599
(913) 754-3996

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
10/09/2008
Last updated
10/09/2008
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