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Organization
THE LIBERTY CLINIC, INC.
Active
Organization
THE LIBERTY CLINIC, INC.
Active
Parent organization
NEW LIBERTY HOSPITAL CORPORATION
Other names
THE LIBERTY CLINIC, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW LIBERTY HOSPITAL CORPORATION
Authorized official
JOSEPH W CROSSETT (ADMINISTRATOR)
(816) 781-7200
Entity
Organization
Contact information
Practice address
122 S STEWART RD, LIBERTY, MO 64068-4205
(816) 781-7730
(816) 415-1886
Mailing address
2525 GLENN HENDREN DR, LIBERTY, MO 64068-9625
(816) 781-7200
(816) 792-7117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MO
207R00000X
Internal Medicine Physician
—
MO
207V00000X
Obstetrics & Gynecology Physician
—
MO
208000000X
Pediatrics Physician
—
MO
Other
Enumeration date
08/16/2005
Last updated
07/21/2022
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