Organization
INDEPENDENCE MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM V ANDREWS M.D. (PHYSICIAN PRESIDENT)
(816) 373-0655
Entity
Organization
Contact information
Practice address
17601 E US HIGHWAY 40, SUITE S, INDEPENDENCE, MO 64055-5434
(816) 373-0655
(816) 478-6374
Mailing address
17601 E US HIGHWAY 40, SUITE S, INDEPENDENCE, MO 64055-5434
(816) 373-0655
(816) 478-6374
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
103646
MO
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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