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400 W Clay Ave Plattsburg MO 64477-1424 | |
(816) 415-3460 | |
(816) 415-3461 |
Full Name | |
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Speciality | Family Medicine |
Location | 400 W Clay Ave, Plattsburg, Missouri |
Authorized Official Name and Position | Michael J Leone (CFO) |
Authorized Official Contact | 8167927003 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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400 W Clay Ave Plattsburg MO 64477-1424 Ph: (816) 415-3460 | 400 W Clay Ave Plattsburg MO 64477-1424 Ph: (816) 415-3460 |
NPI Number | 1811621246 |
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Provider Enumeration Date | 07/12/2022 |
Last Update Date | 07/26/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811621246 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
New Liberty Hospital Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 W Clay Ave, Plattsburg, MO 64477 Phone: 816-415-3460 Fax: 816-415-3461 | |
New Liberty Hospital Coporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 W Clay Ave, Plattsburg, MO 64477 Phone: 816-415-3460 | |