Organization
HEALTHSTAT- INDEPENDENCE SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN HUTTON (COO)
(704) 529-6161
Entity
Organization
Contact information
Practice address
1516 W. MAPLE, INDEPENDENCE, MO 64050
(704) 529-6161
Mailing address
4651 CHARLOTTE PARK DR., SUITE 300, CHARLOTTE, NC 28217
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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