| Excelsior Springs Physician Clinic Llc | |
|
25610 Park Rd N Lawson MO 64062-8938 | |
| (816) 630-6722 | |
| Not Available |
| Full Name | Excelsior Springs Physician Clinic Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 25610 Park Rd N, Lawson, Missouri |
| Authorized Official Name and Position | Cameron Meyer (CFO) |
| Authorized Official Contact | 8166292763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excelsior Springs Physician Clinic Llc 1700 Rainbow Blvd Excelsior Springs MO 64024-1182 Ph: (816) 630-6081 | Excelsior Springs Physician Clinic Llc 25610 Park Rd N Lawson MO 64062-8938 Ph: (816) 630-6722 |
| NPI Number | 1851860498 |
|---|---|
| Provider Enumeration Date | 11/13/2018 |
| Last Update Date | 11/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851860498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Secondary |
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