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122 S Stewart Rd Liberty MO 64068-4205 | |
| (816) 781-7730 | |
| (816) 415-1886 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 122 S Stewart Rd, Liberty, Missouri |
| Authorized Official Name and Position | Joseph W Crossett (ADMINISTRATOR) |
| Authorized Official Contact | 8167817200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2525 Glenn Hendren Dr Liberty MO 64068-9625 Ph: (816) 781-7200 | 122 S Stewart Rd Liberty MO 64068-4205 Ph: (816) 781-7730 |
| NPI Number | 1952393977 |
|---|---|
| Provider Enumeration Date | 08/16/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952393977 | NPI | - | NPPES |
| 208107406 | Medicaid | MO |
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