Gary W Mcewen in Lee's Summit - Procedural Dermatology

Gary W Mcewen - NPI 1477554657

Gary W Mcewen is a Procedural Dermatology in Lee's Summit, Missouri. Gary W Mcewen practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Gary W Mcewen is 1477554657. The last update date is 2008-08-22.

Gary W Mcewen's current location address is 276 Ne Tudor Rd, Lee's Summit, Missouri. You can contact this provider via phone number 8165258500 and fax number 8165250185. The mailing address for Gary W Mcewen is 276 Ne Tudor Rd, Lee's Summit, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary W Mcewen
Address 276 Ne Tudor Rd, Lee's Summit, Missouri
Phone Number 8165258500
Fax Number 8165250185
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1477554657
Provider Enumeration Date 2005-08-10
Last Updated Date 2008-08-22

Provider Mailing Address Detail

Address 276 Ne Tudor Rd
City Lee's Summit
State Missouri (MO)
Post Code 640865696
Phone Number 8165258500
Fax Number 8165250185

Provider's Primary Taxonomy Detail

Speciality Procedural Dermatology
Taxonomy 207Ns0135X
Licence No R9N30
Definition:
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00412861 MO RAILROAD PTAN

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FAQs about Gary W Mcewen

What is the unique identifier code issued to Gary W Mcewen by the Centers for Medicare & Medicaid Services (CMS)?

The Gary W Mcewen has been assigned the NPI (National Provider Identifier) 1477554657. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Gary W Mcewen's physical address?

The Gary W Mcewen is physically located at 276 Ne Tudor Rd, in the city of Lee'S Summit, MO, with the postal code 640865696.

What is Gary W Mcewen's area of expertise and its corresponding taxonomy classification?

The Gary W Mcewen's field of specialization is Procedural Dermatology, and it falls under the taxonomy code 207Ns0135X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1477554657 to Gary W Mcewen?

The Gary W Mcewen received its 1477554657 assignment from the Centers for Medicare & Medicaid Services on 2005-08-10.

When was the information related to Gary W Mcewen most recently updated or refreshed?

The details pertaining to the Gary W Mcewen, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-08-22.

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