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Organization

OLD WESTPORT ENT & ALLERGY, INC

Active
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Organization

OLD WESTPORT ENT & ALLERGY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEE ANN BOWLES BS,MS (PRACTICE ADMINISTRATOR)
(816) 875-2599
Entity
Organization

Contact information

Practice address
1004 CARONDELET DR, SUITE 450, KANSAS CITY, MO 64114-4802
(816) 942-7200
(816) 942-2767
Mailing address
216 NW EXECUTIVE WAY, LEES SUMMIT, MO 64063-1841
(816) 875-2599
(816) 875-2598

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
NULL
207Y00000X
Otolaryngology Physician
Primary
—
—

Other

Enumeration date
05/05/2006
Last updated
08/22/2020
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