Organization
SUMMIT SKIN CARE INCORPORATED
Active
Other names
Summit Skin and Vein Care
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE E FEARON MD (OWNER / PRESIDENT)
(816) 554-7546
Entity
Organization
Contact information
Practice address
3521 NE RALPH POWELL RD STE C, LEES SUMMIT, MO 64064-2324
(816) 554-8346
(816) 554-9470
Mailing address
3521 NE RALPH POWELL RD STE C, LEES SUMMIT, MO 64064-2324
(816) 554-8346
(816) 554-9470
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
102868
MO
Other
Enumeration date
08/27/2007
Last updated
09/16/2022
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