Individual
ERIN ELIZABETH GIDEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10710 NALL AVE, OVERLAND PARK, KS 66211-1206
(913) 588-1227
Mailing address
10710 NALL AVE, OVERLAND PARK, KS 66211-1206
(913) 588-1227
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
15-02327
KS
363A00000X
Physician Assistant
2016034137
MO
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
09/07/2016
Last updated
11/02/2023
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