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Organization
CMC WALK IN MED BS LLC
Active
Organization
CMC WALK IN MED BS LLC
Active
Other names
CMC Walk in Medical
Organization subpart
No
Provider details
NPI number
Authorized official
ASTON GOLDSWORTHY FNP-BC (CEO)
(816) 674-2693
Entity
Organization
Contact information
Practice address
1131 W MAIN ST STE E, BLUE SPRINGS, MO 64015-3611
(816) 229-1941
(816) 229-7085
Mailing address
1131 W MAIN ST STE E, BLUE SPRINGS, MO 64015-3611
(816) 229-1941
(816) 229-7085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
09/11/2023
Last updated
09/12/2023
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