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Organization
BLUE SPRINGS FAMILY CARE PC
Active
Organization
BLUE SPRINGS FAMILY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ERIC PETERSON DO (PRESIDENT)
(816) 229-8880
Entity
Organization
Contact information
Practice address
104 N. 7 HIGHWAY, SUITE B, BLUE SPRINGS, MO 64014-7276
(816) 229-8880
(816) 229-4363
Mailing address
104 N. 7 HIGHWAY, SUITE B, BLUE SPRINGS, MO 64014-2726
(816) 229-8880
(816) 229-4363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09239018
BCBS OF KC
MO
01
—
1052
COVENTRY GHP
MO
Enumeration date
11/16/2006
Last updated
08/22/2020
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