Liberty Neurology, Llc | |
2521 Glenn Hendren Dr Suite 202 Liberty MO 64068-3388 | |
(816) 401-2693 | |
Not Available |
Full Name | Liberty Neurology, Llc |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 2521 Glenn Hendren Dr, Liberty, Missouri |
Authorized Official Name and Position | Jeffrey Wayne Thornton (OWNER) |
Authorized Official Contact | 8164012693 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Liberty Neurology, Llc 2521 Glenn Hendren Dr Suite 202 Liberty MO 64068-3388 Ph: (816) 401-2693 | Liberty Neurology, Llc 2521 Glenn Hendren Dr Suite 202 Liberty MO 64068-3388 Ph: (816) 401-2693 |
NPI Number | 1083884183 |
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Provider Enumeration Date | 03/04/2008 |
Last Update Date | 07/15/2008 |
Identifier | Type | State | Issuer |
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1083884183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 2008003316 (Missouri) | Primary |
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