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Organization
OCCUPATIONAL MEDICINE OF NORTHWEST MISSOURI, LLC
Active
Organization
OCCUPATIONAL MEDICINE OF NORTHWEST MISSOURI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELINDA WAGNER (CHIEF OPERATIONS OFFICER)
(816) 559-6301
Entity
Organization
Contact information
Practice address
904 EDMOND ST, SAINT JOSEPH, MO 64501-2702
(816) 233-7702
Mailing address
PO BOX 877674, KANSAS CITY, MO 64187-7674
(816) 561-2105
(816) 559-6383
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
LC0928916
MO
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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