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Organization
INDEPENDENCE WOMENS CLINIC PC
Active
Organization
INDEPENDENCE WOMENS CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY HALL MD (PRESIDENT)
(816) 478-0220
Entity
Organization
Contact information
Practice address
19550 E 39TH ST S STE 300, INDEPENDENCE, MO 64057-2306
(816) 478-0220
Mailing address
19550 E 39TH ST S STE 300, INDEPENDENCE, MO 64057-2306
(816) 478-0220
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
07/06/2026
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