AB JETMORE MD LLC
Organization (NPI-2)
Active
Colon & Rectal Surgery
Provider Information
- NPI Number
1114258886- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 21106 W 95TH TER, LENEXA, KS, 662205600
- Phone
- (913) 322-8859
- Fax
- (888) 778-9471
Specialties & Taxonomies
Colon & Rectal Surgery
Primary License: KS #04-24436