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Organization

CHILDREN'S MERCY-SUMMIT PEDIATRICS & ADOLESCENT MEDICINE

Active
Other names
Summit Pediatrics & Adolescent Medicine -An of Affiliate of Children's Mercy
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT D FINUF II (SENIOR VICE PRESIDENT)
(816) 701-5200
Entity
Organization

Contact information

Practice address
3171 NE CARNEGIE DR STE A, LEES SUMMIT, MO 64064-3226
(816) 525-2800
(816) 525-4077
Mailing address
2401 GILLHAM ROAD, PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
02/26/2018
Last updated
04/18/2025
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