Organization
JAMES E GRACHECK, D O P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E GRACHECK D.O. (OWNER)
(816) 444-0025
Entity
Organization
Contact information
Practice address
106 W 72ND ST, KANSAS CITY, MO 64114-5702
(816) 444-0025
(816) 444-0007
Mailing address
8607 E 77TH ST, KANSAS CITY, MO 64138-1210
(816) 358-1231
(816) 743-0484
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33627
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240879205
—
MO
Enumeration date
12/03/2008
Last updated
02/10/2009
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