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Organization

LIBERTY NEUROLOGY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY WAYNE THORNTON M.D. (OWNER)
(816) 401-2693
Entity
Organization

Contact information

Practice address
2521 GLENN HENDREN DR, SUITE 202, LIBERTY, MO 64068-3388
(816) 401-2693
Mailing address
2521 GLENN HENDREN DR, SUITE 202, LIBERTY, MO 64068-3388
(816) 401-2693

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2008003316
MO

Other

Enumeration date
03/04/2008
Last updated
07/15/2008
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