General Surgery Pa

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NPI Provider: 1629075049
Contact Name: Rollo M Debra
Position: Manager
Phone: (785) 842-6644

General Surgery Pa Information:

General Surgery Pa organization have npi 1629075049, taxonomy code is 208600000X with license number is 0703DC in . This Business address located in 346 Maine St, Lawrence, KS 66044 Kansas. Get directions of General Surgery Pa.

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Practice Location
Address: 346 Maine St, Lawrence, KS 66044
Phone: (785) 842-6644

Business Location

Address: 346 Maine St, Lawrence, KS 66044

Phone: (785) 842-6644

Fax: (785) 842-0348

Taxonomy

Taxonomy Code: 208600000X

License Number: 0703DC

License Number of State: KS

Primary Taxonomy Switch: Y

Enumeration Date: 6/30/2005

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