Dr Crowell Internal Medicine Pc | |
19550 E 39th St S Independence MO 64057-2358 | |
(816) 350-0005 | |
Not Available |
Full Name | Dr Crowell Internal Medicine Pc |
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Speciality | Internal Medicine |
Location | 19550 E 39th St S, Independence, Missouri |
Authorized Official Name and Position | Tamara Crowell (OWNER) |
Authorized Official Contact | 8163500005 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr Crowell Internal Medicine Pc 4121 Sw Leeward Dr Lees Summit MO 64082-4788 Ph: (816) 350-0005 | Dr Crowell Internal Medicine Pc 19550 E 39th St S Independence MO 64057-2358 Ph: (816) 350-0005 |
NPI Number | 1447655915 |
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Provider Enumeration Date | 10/27/2014 |
Last Update Date | 11/21/2023 |
Medicare PECOS PAC ID | 9638391162 |
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Medicare Enrollment ID | O20141117000708 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447655915 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 102565 (Missouri) | Primary |
Provider Name | Tamara E Crowell |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215921804 PECOS PAC ID: 1355394503 Enrollment ID: I20050228000583 |
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