Organization
GLADSTONE FAMILY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TIFFANY A COVEY (BILLING MANAGER)
(816) 678-7223
Entity
Organization
Contact information
Practice address
6717 N OAK TRFY, GLADSTONE, MO 64118-3346
(816) 678-7223
Mailing address
6717 N OAK TRFY, GLADSTONE, MO 64118-3346
(816) 678-7223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/30/2016
Last updated
10/04/2016
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