| St. Joseph Urology,llc | |
|
711 N 36th St Saint Joseph MO 64506-2977 | |
| (816) 271-8127 | |
| (816) 271-8128 |
| Full Name | St. Joseph Urology,llc |
|---|---|
| Speciality | Clinic/center |
| Location | 711 N 36th St, Saint Joseph, Missouri |
| Authorized Official Name and Position | John F. Riordan (PROVIDER/ OWNER) |
| Authorized Official Contact | 8162718127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Joseph Urology,llc 711 N. 36th St. St. Joseph MO 64506-2976 Ph: (816) 271-8127 | St. Joseph Urology,llc 711 N 36th St Saint Joseph MO 64506-2977 Ph: (816) 271-8127 |
| NPI Number | 1558642793 |
|---|---|
| Provider Enumeration Date | 09/01/2011 |
| Last Update Date | 09/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558642793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2008011487 (Missouri) | Primary |
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