# COCKERELL & MCINTOSH PEDIATRIC URGENT CARE PC

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

## Provider details

- **NPI number:** 1437180171
- **Authorized official:** BRYAN E WOOD (GENERAL MANAGER)
- **Authorized official phone:** (816) 228-4770

## Contact information

- **Practice address:** 11200 E WINNER RD, INDEPENDENCE, MO 64052-3964
- **Practice address phone:** (816) 252-9850
- **Mailing address:** 205 NW R D MIZE RD, SUITE 304, BLUE SPRINGS, MO 64014
- **Mailing address phone:** (816) 228-4770
- **Mailing address fax:** (816) 228-1156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 01/31/2011