Individual
TIMOTHY J LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4801 S CLIFF AVE, STE. 300, INDEPENDENCE, MO 64055-7015
(816) 251-5200
(816) 251-5299
Mailing address
4801 S CLIFF AVE, STE 300, INDEPENDENCE, MO 64055-6954
(816) 251-5200
(816) 251-5299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R9C57
MO
Other
Enumeration date
01/18/2006
Last updated
10/22/2019
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