COLLEGE PARK FAMILY CARE CENTER P.A. NPI 1881803229

NPI Information

COLLEGE PARK FAMILY CARE CENTER, P.A. is a radiology clinic center in Overland Park, KS. COLLEGE PARK FAMILY CARE CENTER, P.A. NPI is 1881803229. The provider is registered as an organization entity type.
The provider Other Name Is College Park Radiology.

The provider's business location address is:

11755 W 112TH ST
STE. 101
OVERLAND PARK, KS
ZIP 66210-761
Phone: (913) 469-0503
Fax: (913) 338-1311

The provider's authorized official is Chuck Chambers .
The authorized official title is Administrator and has the following contact phone number (913) 469-0503.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/10/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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