| Carespot Of Raytown (9490 East 350 Highway), Llc | |
|
9490 E 350 Raytown MO 64133-6509 | |
| (615) 600-4060 | |
| (615) 309-4624 |
| Full Name | Carespot Of Raytown (9490 East 350 Highway), Llc |
|---|---|
| Speciality | General Practice |
| Location | 9490 E 350, Raytown, Missouri |
| Authorized Official Name and Position | Jon Sundock (CAO & GENERAL COUNSEL) |
| Authorized Official Contact | 6156004060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carespot Of Raytown (9490 East 350 Highway), Llc 115 East Park Drive Suite 300 Brentwood TN 37027-2311 Ph: (615) 600-4075 | Carespot Of Raytown (9490 East 350 Highway), Llc 9490 E 350 Raytown MO 64133-6509 Ph: (615) 600-4060 |
| NPI Number | 1508209735 |
|---|---|
| Provider Enumeration Date | 04/08/2013 |
| Last Update Date | 04/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508209735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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