| Cockerell & Mcintosh Pediatrics Pc | |
|
205 Nw Rd Mize Rd Suite 304 Blue Springs MO 64014-2518 | |
| (816) 228-4770 | |
| (816) 228-1156 |
| Full Name | Cockerell & Mcintosh Pediatrics Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 205 Nw Rd Mize Rd, Blue Springs, Missouri |
| Authorized Official Name and Position | Bryan E Wood (GENERAL MANAGER) |
| Authorized Official Contact | 8162284770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cockerell & Mcintosh Pediatrics Pc 205 Nw R D Mize Rd Suite 304 Blue Springs MO 64014-2518 Ph: (816) 228-4770 | Cockerell & Mcintosh Pediatrics Pc 205 Nw Rd Mize Rd Suite 304 Blue Springs MO 64014-2518 Ph: (816) 228-4770 |
| NPI Number | 1124190632 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 01/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124190632 | NPI | - | NPPES |
| 11862021 | Other | MO | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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