Organization
MIDWEST HEMORRHOID TREATMENT CENTER NORTH KANSAS CITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ANTHONY MOULTON D.O. (EXECUTIVE DIRECTOR)
(913) 451-0600
Entity
Organization
Contact information
Practice address
2700 CLAY EDWARDS DR, SUITE 260, NORTH KANSAS CITY, MO 64116-3237
(816) 421-0601
(816) 421-0604
Mailing address
PO BOX 7127, SHAWNEE MISSION, KS 66207-0127
(816) 421-0601
(816) 421-0604
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LC0811343
MO
Other
Enumeration date
07/30/2007
Last updated
11/08/2007
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