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Organization
EXCELSIOR SPRINGS PHYSICIAN CLINIC LLC
Active
Organization
EXCELSIOR SPRINGS PHYSICIAN CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH ANN HESTER (PATIENT FINANCIAL SERVICES DIRECTOR)
(816) 629-2790
Entity
Organization
Contact information
Practice address
1700 RAINBOW BLVD, EXCELSIOR SPRINGS, MO 64024-1182
(816) 630-6081
(816) 629-3661
Mailing address
1700 RAINBOW BLVD, EXCELSIOR SPRINGS, MO 64024-1182
(816) 630-6081
(816) 629-3661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/04/2012
Last updated
01/08/2014
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