S&
SKIN & MOHS SURGERY CENTER, LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
LEES SUMMIT, MO
Licensed since
2007
Rate
—
Federal identifiers
NPI registry number1881875227
Agency details
Parent orgOLIVER STREET DERMATOLOGY HOLDINGS, LLC
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients1,281
Authorized official
NameGLENN GOLDSTEIN
TitleMEDICAL DIRECTOR
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