Organization
JACKSON COUNTY GASTROENTEROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY M VARDAKIS DO (OWNER)
(816) 229-1191
Entity
Organization
Contact information
Practice address
206 NW MOCK AVE, SUITE 100, BLUE SPRINGS, MO 64014-2507
(816) 229-1191
(816) 229-1198
Mailing address
PO BOX 412622, KANSAS CITY, MO 64141-2622
(816) 229-1191
(816) 229-1198
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
05/24/2006
Last updated
12/31/2009
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