| Family Medicine Specialist Of Excelsior Springs | |
|
1010 N Jesse James Rd. Excelsior Springs MO 64024-1202 | |
| (816) 630-6722 | |
| (816) 630-2471 |
| Full Name | Family Medicine Specialist Of Excelsior Springs |
|---|---|
| Speciality | Family Medicine |
| Location | 1010 N Jesse James Rd., Excelsior Springs, Missouri |
| Authorized Official Name and Position | Robert L Buzard (OWNER) |
| Authorized Official Contact | 8166306722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Specialist Of Excelsior Springs 1010 N Jesse James Road Excelsior Springs MO 64024-1202 Ph: (816) 630-6722 | Family Medicine Specialist Of Excelsior Springs 1010 N Jesse James Rd. Excelsior Springs MO 64024-1202 Ph: (816) 630-6722 |
| NPI Number | 1881791853 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 02/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881791853 | NPI | - | NPPES |
| 506132406 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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