Organization
PLAZA PRIMARY CARE AND GERIATRICS
Active
Parent organization
PLAZA PRIMARY CARE AND GERIATRICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
PLAZA PRIMARY CARE AND GERIATRICS
Authorized official
MRS. REGINA G FOSTER (OFFICE MANAGER)
(815) 561-9200
Entity
Organization
Contact information
Practice address
4440 BROADWAY ST, KANSAS CITY, MO 64111-3315
(816) 561-9200
(816) 561-5766
Mailing address
4440 BROADWAY ST, KANSAS CITY, MO 64111-3315
(816) 561-9200
(816) 561-5766
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/14/2006
Last updated
10/26/2007
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