Summit Skin Care Incorporated
NPI #1902099500 in Lees Summit, Missouri
Provider Information
- NPI Number
- 1902099500
- Entity Type
- Organization
- Organization Name
- Summit Skin Care Incorporated
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 27, 2007
- Last Updated
- Sep 16, 2022
Practice Location
- Address
- 3521 NE RALPH POWELL RD STE C
- City
- Lees Summit
- State
- Missouri
- ZIP Code
- 64064-2324
- Phone
- (816) 554-8346
Authorized Official
- Name
- BRUCE E FEARON, MD
- Title
- OWNER / PRESIDENT
- Phone
- (816) 554-7546
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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