Mid America Neurospine LLC

NPI #1962661736 in Overland Park, Kansas

Provider Information

NPI Number
1962661736
Entity Type
Organization
Organization Name
Mid America Neurospine LLC
Primary Specialty
Specialist
Enumeration Date
Jun 5, 2008
Last Updated
Nov 18, 2008

Practice Location

Address
5701 W 119TH ST
Address 2
SUITE 331
State
Kansas
ZIP Code
66209-3721
Phone
(913) 851-2919

Authorized Official

Name
DR. ERNEST JEROME HANSON, M.D.
Title
OWNER/PHYSICIAN
Phone
(913) 851-2919

Specialties & Taxonomy Codes

Specialty
Specialist

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