Organization
WESTPORT PLAZA MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ERIN LOUISA BISHOP (PRESIDENT)
(816) 841-4865
Entity
Organization
Contact information
Practice address
4218 ROANOKE RD, SUITE 210, KANSAS CITY, MO 64111-3198
(816) 841-4865
(816) 841-4801
Mailing address
4218 ROANOKE RD, SUITE 210, KANSAS CITY, MO 64111-3198
(816) 841-4865
(816) 841-4801
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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