West College Dermatology & Aesthetics, PA

NPI #1003003310 in Lenexa, Kansas

Provider Information

NPI Number: 1003003310
Entity Type: Organization
Organization Name: West College Dermatology & Aesthetics, PA
Primary Specialty: Dermatology
Enumeration Date: Oct 1, 2007
Last Updated: Jun 17, 2014

Practice Location

Address: 11041 HAUSER ST
City: Lenexa
State: Kansas
ZIP Code: 66210-3708
Phone: (913) 888-3376

Authorized Official

Name: MICHAEL LEE HAAG, MD
Title: OWNER
Phone: (913) 888-3376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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