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Organization

MINIMALLY INVASIVE AND BARIATRIC SURGERY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA MILLER (OFFICE MANAGER)
(620) 232-9000
Entity
Organization

Contact information

Practice address
2711 S. ROUSE STE. F, PITTSBURG, KS 66762
(620) 232-9000
(620) 232-9005
Mailing address
2711 S. ROUSE STE. F, PITTSBURG, KS 66762
(620) 232-9000
(620) 232-9005

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04-32899
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201258530A
KS
Enumeration date
12/10/2008
Last updated
10/23/2019
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