Individual
ADAM LEE HARROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2609 GLENN HENDREN DR, LIBERTY, MO 64068-3313
(816) 781-7730
(816) 781-6973
Mailing address
PO BOX 219672, KANSAS CITY, MO 64121-9672
(816) 407-4555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2013017875
MO
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2015032303
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56906012
BCBS
MO
Enumeration date
06/14/2013
Last updated
10/09/2018
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