Organization
MARK J BRODKEY, MD, PC
Active
Organization
MARK J BRODKEY, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOROTHY K ADRIAN (OFFICE MANAGER)
(816) 333-2880
Entity
Organization
Contact information
Practice address
6420 PROSPECT AVE, T417 RESEARCH TOWER BUILDING, KANSAS CITY, MO 64132-1180
(816) 333-2880
(816) 333-2725
Mailing address
6420 PROSPECT AVE, T417 RESEARCH TOWER BUILDING, KANSAS CITY, MO 64132-1180
(816) 333-2880
(816) 333-2725
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R7633
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06510032
BCBS
MO
Enumeration date
05/09/2007
Last updated
08/22/2020
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