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Organization

PRIMARY CARE PLUS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ETHAN C RICHARD DO (OWNER/STAFF PHYSICIAN)
(816) 554-2600
Entity
Organization

Contact information

Practice address
2741 NE MCBAIN DR, SUITE A, LEES SUMMIT, MO 64064-7880
(816) 554-2600
(816) 554-2603
Mailing address
2741 NE MCBAIN DR, SUITE A, LEES SUMMIT, MO 64064-7880
(816) 554-2600
(816) 554-2603

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
07/27/2010
Last updated
07/27/2010
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