Organization
SIGNATURE MEDICAL GROUP OF KC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE STEVENSON (ADMINISTRATOR)
(913) 381-5225
Entity
Organization
Contact information
Practice address
6 NW SYCAMORE STREET, SUITE A, LEES SUMMIT, MO 64086-0000
(816) 246-4222
(816) 246-4423
Mailing address
12639 OLD TESSON RD, SUITE 100, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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