Organization
INNOVATIVE MEDICAL SOLUTIONS, INC.
Active
Organization
INNOVATIVE MEDICAL SOLUTIONS, INC.
Active
Other names
Dynamic Medical Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICKI J THEODORIDIS (PRESIDENT)
(816) 753-5459
Entity
Organization
Contact information
Practice address
4218 ROANOKE RD STE 304, KANSAS CITY, MO 64111-4996
(816) 753-5459
Mailing address
3860 N MULBERRY DR APT 5310, KANSAS CITY, MO 64116-1894
(816) 753-5459
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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