Susan A Vega Do.pc | |
8 Country Club Rd Country Club MO 64505-1014 | |
(816) 232-0743 | |
(816) 361-4151 |
Full Name | Susan A Vega Do.pc |
---|---|
Speciality | Family Medicine |
Location | 8 Country Club Rd, Country Club, Missouri |
Authorized Official Name and Position | Susan A Vega (PHYSICIAN) |
Authorized Official Contact | 8162320743 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Susan A Vega Do.pc 8 Country Club Rd Country Club MO 64505-1014 Ph: (816) 232-0743 | Susan A Vega Do.pc 8 Country Club Rd Country Club MO 64505-1014 Ph: (816) 232-0743 |
NPI Number | 1518167071 |
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Provider Enumeration Date | 07/23/2007 |
Last Update Date | 01/26/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518167071 | NPI | - | NPPES |
P00415188 | Other | MO | MEDICARE RR |
243615069 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R3P07 (Missouri) | Primary |