Organization
CARDIAC CARE CONSULTANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN STANLEY CRIE MD (PRESIDENT)
(816) 279-6666
Entity
Organization
Contact information
Practice address
3925 SHERMAN AVE, SAINT JOSEPH, MO 64506-3649
(816) 279-6666
(816) 279-7363
Mailing address
3925 SHERMAN AVE, SAINT JOSEPH, MO 64506-3649
(816) 279-6666
(816) 279-7363
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000632671
BC KS
KS
01
—
14237019
BC KC
MO
01
—
CH6389
RAILROAD MEDICARE
—
Enumeration date
10/31/2005
Last updated
08/22/2020
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