State Of Missouri
Specialty details in registry · Independence, MO
At a glance
1501 N River Blvd, Independence, MO 64050-1760
NPPES record updated Oct 20, 2020. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
1501 N River BlvdIndependence, MO 64050-1760
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 320900000X
- Enumeration date
- Jul 13, 2007
- Record updated
- Oct 20, 2020
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
320900000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1501 N River BlvdIndependence, MO 64050-1760
- Phone
- (816) 512-7515
- Fax
- (816) 512-7517
Mailing address
1706 E ELM STJEFFERSON CITY, MO 651014130
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
Report a directory issue