Organization
MEADOWLARK MEDICAL SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A BROCKENBROUGH M.D. (PRESIDENT)
(816) 813-8308
Entity
Organization
Contact information
Practice address
21 N 12TH ST STE 103A, KANSAS CITY, KS 66102-5161
(816) 531-0110
(816) 531-0115
Mailing address
3210 MERSINGTON AVE, KANSAS CITY, MO 64128-2143
(816) 813-8308
(816) 924-3223
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0432320
KS
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2009015153
MO
Other
Enumeration date
06/13/2007
Last updated
03/05/2024
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