Organization
MURPHY WATSON BURR SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENI CROUSE (PRACTICE ADMINISTRATOR)
(816) 233-2020
Entity
Organization
Contact information
Practice address
5202 FARAON ST, SAINT JOSEPH, MO 64506-3840
(816) 233-2020
(816) 279-4662
Mailing address
5202 FARAON ST, SAINT JOSEPH, MO 64506-3840
(816) 233-2020
(816) 279-4662
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
77-18
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508629102
—
MO
Enumeration date
05/27/2006
Last updated
03/19/2014
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