Organization
ADVANCED HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND VASQUEZ (PRESIDENT)
(816) 525-6688
Entity
Organization
Contact information
Practice address
1631 NE DOUGLAS ST, LEES SUMMIT, MO 64086-4701
(816) 525-6688
(816) 554-7227
Mailing address
1631 NE DOUGLAS ST, LEES SUMMIT, MO 64086-4701
(816) 525-6688
(816) 554-7227
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
—
MO
207Q00000X
Family Medicine Physician
Primary
—
MO
363LF0000X
Family Nurse Practitioner
—
MO
Other
Enumeration date
09/26/2006
Last updated
10/16/2015
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