# GERIATRIC PRIMARY CARE PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073082350
- **Authorized official:** MR. MARK BATTIST NP (OFFICER)
- **Authorized official phone:** (850) 377-0925

## Contact information

- **Practice address:** 1500 W FOXWOOD DR STE B, RAYMORE, MO 64083-9372
- **Practice address phone:** (850) 377-0925
- **Practice address fax:** (888) 779-3217
- **Mailing address:** 12120 STATE LINE RD, PMB 296, LEAWOOD, KS 66209-1254
- **Mailing address phone:** (850) 377-0925
- **Mailing address fax:** (888) 779-3217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/16/2018
- **Last updated:** 07/01/2025