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Organization
WEST CENTRAL MISSOURI DIAGNOSTIC
Active
Organization
WEST CENTRAL MISSOURI DIAGNOSTIC
Active
Other names
SEDALIA IMAGING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS W. KIBURZ MD (PRESIDENT)
(660) 826-5890
Entity
Organization
Contact information
Practice address
1430 THOMPSON BLVD STE 7, SEDALIA, MO 65301-2209
(660) 851-0758
(660) 851-0769
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/03/2010
Last updated
05/24/2016
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