Organization
GERHARD W CIBIS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENEANE THOMPSON (PRACTICE COORDINATOR)
(913) 491-0765
Entity
Organization
Contact information
Practice address
4620 J C NICHOLS PKWY, 421, KANSAS CITY, MO 64112-1617
(816) 561-0306
(816) 531-7166
Mailing address
4620 J C NICHOLS PKWY, 421, KANSAS CITY, MO 64112-1617
(816) 561-0306
(816) 531-7166
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08196015
BLUE CROSS BLUE SHIELD
MO
Enumeration date
11/28/2006
Last updated
08/22/2020
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