Organization
ELECTRODIAGNOSTIC & REHAB MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L BELVILLE D.O. (PRESIDENT/SECRETARY)
(816) 233-9888
Entity
Organization
Contact information
Practice address
3107 FREDERICK AVE, SUITE C, SAINT JOSEPH, MO 64506-2956
(816) 233-9888
(816) 233-0414
Mailing address
3107 FREDERICK AVE, SUITE C, SAINT JOSEPH, MO 64506-2956
(816) 233-9888
(816) 233-0414
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
2003013938
MO
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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