# PRIMARY CARE PLUS, LLC

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

## Provider details

- **NPI number:** 1205140712
- **Authorized official:** DR. ETHAN C RICHARD DO (OWNER/STAFF PHYSICIAN)
- **Authorized official phone:** (816) 554-2600

## Contact information

- **Practice address:** 2741 NE MCBAIN DR, SUITE A, LEES SUMMIT, MO 64064-7880
- **Practice address phone:** (816) 554-2600
- **Practice address fax:** (816) 554-2603
- **Mailing address:** 2741 NE MCBAIN DR, SUITE A, LEES SUMMIT, MO 64064-7880
- **Mailing address phone:** (816) 554-2600
- **Mailing address fax:** (816) 554-2603

## Taxonomy

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

## Other

- **Enumeration date:** 07/27/2010
- **Last updated:** 07/27/2010