| Summit Gastroenterology Llc | |
|
20 Ne Saint Lukes Blvd Suite #330 Lees Summit MO 64086 | |
| (816) 554-3838 | |
| (816) 554-1634 |
| Full Name | Summit Gastroenterology Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 20 Ne Saint Lukes Blvd, Lees Summit, Missouri |
| Authorized Official Name and Position | Amy Astel Waller (OFFICE MANAGER NURSE PRACTITIONER) |
| Authorized Official Contact | 8165543838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Gastroenterology Llc 20 Ne Saint Lukes Blvd Suite #330 Lees Summit MO 64086 Ph: (816) 554-3838 | Summit Gastroenterology Llc 20 Ne Saint Lukes Blvd Suite #330 Lees Summit MO 64086 Ph: (816) 554-3838 |
| NPI Number | 1821013509 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 05/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821013509 | NPI | - | NPPES |
| 507580405 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Missouri) | Primary |
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