Organization
JACKSON COUNTY PULMONARY MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD CARLON (VP)
(816) 508-4090
Entity
Organization
Contact information
Practice address
4911 S ARROWHEAD DR, SUITE 201, INDEPENDENCE, MO 64055-7005
(816) 478-8113
(816) 478-8108
Mailing address
4911 S ARROWHEAD DR, SUITE 201, INDEPENDENCE, MO 64055-7005
(816) 478-8113
(816) 478-8108
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
05/01/2013
Last updated
08/20/2013
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