OrganizationActive
Premier Dermatologic Surgery, PA
NPI 1487671384 · Dermatology Physician · Overland Park, KS
Provider details
- NPI number
- 1487671384
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Elizabeth Spenceri, Medical Director(913) 327-1117
- License
- 30619 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
12200 W 106th St
Suite 210
Overland Park, KS 66215-2300
Phone: (913) 327-1117
Fax: (913) 327-1119
Approximate (ZIP-level) locationGet directions
Mailing address
12200 W 106th St
Overland Park, KS 66215-2300
Registry dates
- Enumerated
- 2006-07-16
- Last updated
- 2008-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.