Dexton Gould, DC | |
5748 N Broadway St, Kansas City, MO 64118-3998 | |
(816) 454-2100 | |
Not Available |
Full Name | Dexton Gould |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 10 Years |
Location | 5748 N Broadway St, Kansas City, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902207715 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2014032201 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Myocore Llc | 9830267277 | 34 |
Myocore Llc | 9830267277 | 34 |
Provider Name | Myocore Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316138316 PECOS PAC ID: 9830267277 Enrollment ID: O20081011000020 |
Mailing Address | Practice Location Address |
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Dexton Gould, DC 5748 N Broadway St, Kansas City, MO 64118-3998 Ph: (816) 454-2100 | Dexton Gould, DC 5748 N Broadway St, Kansas City, MO 64118-3998 Ph: (816) 454-2100 |
Applied Diagnostic Services-kc, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8600 Ward Pkwy, Suite 2075, Kansas City, MO 64114 Phone: 816-569-6555 Fax: 816-569-6556 | |
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