Organization
MIDWEST EAR NOSE & THROAT CTR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET GORDON (PRACTICE MANAGER)
(816) 875-2599
Entity
Organization
Contact information
Practice address
4880 NW GOODVIEW CIRCLE, LEES SUMMIT, MO 64064
(816) 478-4200
(816) 478-0507
Mailing address
216 NW EXECUTIVE WAY, LEES SUMMIT, MO 64063-1841
(816) 875-2599
(816) 875-2598
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
08/31/2005
Last updated
08/22/2020
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