# GREAT PLAINS ENDOCRINOLOGY & DIABETES CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GREAT PLAINS ENDOCRINOLOGY & DIABETES CARE LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962275750
- **Authorized official:** AZRA NIAZ (OWNER)
- **Authorized official phone:** (773) 971-2604

## Contact information

- **Practice address:** 15421 CLAYTON RD STE 202, BALLWIN, MO 63011-3161
- **Practice address phone:** (636) 534-1466
- **Mailing address:** 15421 CLAYTON RD STE 202, BALLWIN, MO 63011-3161
- **Mailing address phone:** (636) 534-1466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2023
- **Last updated:** 11/30/2023