| Northland Gastroenterology | |
|
1345 N Jesse James Rd Excelsior Springs MO 64024-1183 | |
| (816) 630-0900 | |
| (816) 637-3250 |
| Full Name | Northland Gastroenterology |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1345 N Jesse James Rd, Excelsior Springs, Missouri |
| Authorized Official Name and Position | Brandi E Potter (BILLING) |
| Authorized Official Contact | 8165543838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northland Gastroenterology 1345 N Jesse James Rd Excelsior Springs MO 64024-1183 Ph: (816) 630-0900 | Northland Gastroenterology 1345 N Jesse James Rd Excelsior Springs MO 64024-1183 Ph: (816) 630-0900 |
| NPI Number | 1093884504 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 07/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093884504 | NPI | - | NPPES |
| 09040299 | Other | MO | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | R9779 (Missouri) | Primary |
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