Medbasics Missouri Llc | |
4201 S Noland Rd Independence MO 64055-7313 | |
(816) 373-9901 | |
(816) 373-9905 |
Full Name | Medbasics Missouri Llc |
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Speciality | Clinic/center - Primary Care |
Location | 4201 S Noland Rd, Independence, Missouri |
Authorized Official Name and Position | Jodi Krusely (ACCOUNT MANAGER) |
Authorized Official Contact | 8478383832 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Medbasics Missouri Llc Po Box 671621 Dallas TX 75267-1621 Ph: (972) 580-7700 | Medbasics Missouri Llc 4201 S Noland Rd Independence MO 64055-7313 Ph: (816) 373-9901 |
NPI Number | 1063698827 |
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Provider Enumeration Date | 01/10/2008 |
Last Update Date | 01/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063698827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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