Organization
LINCOLN CENTER OBGYN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS S GLEASON M.D. (VICE PRESIDENT)
(785) 233-5101
Entity
Organization
Contact information
Practice address
800 SW LINCOLN ST, TOPEKA, KS 66606-1515
(785) 233-5101
(785) 233-1404
Mailing address
800 SW LINCOLN ST, TOPEKA, KS 66606-1515
(785) 233-5101
(785) 233-1404
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100088290A
—
KS
Enumeration date
05/01/2006
Last updated
07/25/2011
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