| Adservior Mediation Services, Llc | |
|
6220 Blue Ridge Cutoff Ste. 204 Raytown MO 64133-3700 | |
| (816) 737-1538 | |
| Not Available |
| Full Name | Adservior Mediation Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6220 Blue Ridge Cutoff, Raytown, Missouri |
| Authorized Official Name and Position | Floyd Clarence Wiggins (DOCTOR, PASTOR) |
| Authorized Official Contact | 8167371538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adservior Mediation Services, Llc Po Box 9471 Raytown MO 64133-0271 Ph: (816) 737-1538 | Adservior Mediation Services, Llc 6220 Blue Ridge Cutoff Ste. 204 Raytown MO 64133-3700 Ph: (816) 737-1538 |
| NPI Number | 1255635660 |
|---|---|
| Provider Enumeration Date | 12/28/2010 |
| Last Update Date | 12/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255635660 | NPI | - | NPPES |
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