Dickson Diveley Midwest Orthopaedic Clinic LLC

NPI #1730946302 in Lenexa, Kansas

Provider Information

NPI Number
1730946302
Entity Type
Organization
Organization Name
Dickson Diveley Midwest Orthopaedic Clinic LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Feb 29, 2024
Last Updated
Jun 5, 2024

Practice Location

Address
23401 PRAIRIE STAR PKWY STE 220B
City
Lenexa
State
Kansas
ZIP Code
66227-7268
Phone
(913) 319-7600

Authorized Official

Name
JACOB S STUEVE
Title
AUTHORIZED OFFICIAL
Phone
(913) 851-7780

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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