Organization
NORTHLAND NEUROSURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRICIA J BAGLEY (OFFICE MANAGER)
(816) 777-5775
Entity
Organization
Contact information
Practice address
9411 N OAK TRFY, SUITE 240, KANSAS CITY, MO 64155-2233
(816) 777-5775
(816) 436-1461
Mailing address
825 W 53RD ST, KANSAS CITY, MO 64112-2325
(816) 777-5775
(816) 436-1461
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R4730
MO
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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