# MEDICAL ARTS CENTERS INC

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

## Provider details

- **NPI number:** 1114084738
- **Authorized official:** MRS. KATHYN A COCKRUM (ADMINISTRATOR)
- **Authorized official phone:** (810) 630-6071

## Contact information

- **Practice address:** 950 N JESSE JAMES RD, EXCELSIOR SPGS, MO 64024
- **Practice address phone:** (816) 630-6071
- **Practice address fax:** (816) 630-4465
- **Mailing address:** 950 N JESSE JAMES RD, EXCELSIOR SPGS, MO 64024
- **Mailing address phone:** (816) 630-6071
- **Mailing address fax:** (816) 630-4465

## Taxonomy

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

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 08/22/2007