Organization
HEAD & NECK SURGICAL ASSOC PA
Active
Parent organization
HEAD & NECK SURGICAL ASSOC PA
Other names
Head & Neck Surgical Assoc PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEAD & NECK SURGICAL ASSOC PA
Authorized official
DAVID T RUDMAN MD (SEC TREASURER)
(913) 663-5100
Entity
Organization
Contact information
Practice address
6400 PROSPECT, SUITE 346, KANSAS CITY, MO 64132
(816) 333-6996
(816) 333-7061
Mailing address
6400 PROSPECT, SUITE 346, KANSAS CITY, MO 64132
(816) 333-6996
(816) 333-7061
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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