| Creekwood Internal Medicine Pc | |
|
5400 N Oak Trfway Ste 100 Kansas City MO 64118 | |
| (816) 453-6200 | |
| (816) 455-0595 |
| Full Name | Creekwood Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5400 N Oak Trfway, Kansas City, Missouri |
| Authorized Official Name and Position | Walter Paul Grayson (MD PRESIDENT) |
| Authorized Official Contact | 8164536200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekwood Internal Medicine Pc 5400 N Oak Trfway Ste 100 Kansas City MO 64118 Ph: (816) 453-6200 | Creekwood Internal Medicine Pc 5400 N Oak Trfway Ste 100 Kansas City MO 64118 Ph: (816) 453-6200 |
| NPI Number | 1083797070 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083797070 | NPI | - | NPPES |
| 09292014 | Other | MO | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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