| Plaza Infectious Disease, Pc | |
|
4320 Wornall Rd Suite 440 Kansas City MO 64111-5941 | |
| (816) 531-1550 | |
| (816) 531-8277 |
| Full Name | Plaza Infectious Disease, Pc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 4320 Wornall Rd, Kansas City, Missouri |
| Authorized Official Name and Position | Dixie D Freeborn (OFFICE MANAGER) |
| Authorized Official Contact | 8165311550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plaza Infectious Disease, Pc 4320 Wornall Rd Suite 440 Kansas City MO 64111-5941 Ph: (816) 531-1550 | Plaza Infectious Disease, Pc 4320 Wornall Rd Suite 440 Kansas City MO 64111-5941 Ph: (816) 531-1550 |
| NPI Number | 1073543070 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 03/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073543070 | NPI | - | NPPES |
| 14271019 | Other | MO | BC/BS |
| 502598907 | Medicaid | MO | |
| 100214320A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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