Organization
PLAZA AESTHETICS & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMBER BOTROS D.O. (OWNER)
(816) 463-4440
Entity
Organization
Contact information
Practice address
4806 BELLEVIEW AVE, KANSAS CITY, MO 64112-1321
(816) 463-4440
Mailing address
4806 BELLEVIEW AVE, KANSAS CITY, MO 64112-1321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2011004643
MO
Other
Enumeration date
08/26/2015
Last updated
12/02/2015
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