Organization
OCCUPATIONAL MEDICINE OF NORTHWEST MISSOURI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELINDA WAGNER (CHIEF OPERATIONS OFFICER)
(816) 559-6301
Entity
Organization
Contact information
Practice address
904 EDMOND ST, SAINT JOSEPH, MO 64501-2702
(816) 233-7702
Mailing address
PO BOX 877674, KANSAS CITY, MO 64187-7674
(816) 561-2105
(816) 559-6383
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
LC0928916
MO
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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