Organization
GARDNER IMMUNIZATION CLINIC
Active
Parent organization
BOYAJIAN,INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOYAJIAN,INC
Authorized official
SAM HAROLD BOYAJIAN (OWNER)
(913) 856-8106
Entity
Organization
Contact information
Practice address
131 E MAIN ST, SUITE 101, GARDNER, KS 66030-1309
(913) 856-8106
(913) 856-8802
Mailing address
131 E MAIN ST, SUITE 101, GARDNER, KS 66030-1309
(913) 856-8106
(913) 856-8802
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
03/07/2008
Last updated
03/07/2008
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