Organization
GERIATRIC PRIMARY CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK BATTIST NP (OFFICER)
(850) 377-0925
Entity
Organization
Contact information
Practice address
1500 W FOXWOOD DR STE B, RAYMORE, MO 64083-9372
(850) 377-0925
(888) 779-3217
Mailing address
12120 STATE LINE RD, PMB 296, LEAWOOD, KS 66209-1254
(850) 377-0925
(888) 779-3217
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
07/01/2025
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