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 |