Individual
DR. PATRICK GLADE WHITWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
19045 E VALLEY VIEW PKWY, INDEPENDENCE, MO 64055-7030
(816) 795-7777
(816) 795-1290
Mailing address
19045 E VALLEY VIEW PKWY, SUITE A, INDEPENDENCE, MO 64055-7030
(816) 795-7777
(816) 795-1290
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO3371
MO
Other
Enumeration date
07/06/2006
Last updated
07/27/2012
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