Organization
WESTON FAMILY CLINIC, LLC
Active
Other names
WESTON FAMILY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE E CHENOWETH (OFFICE MANAGER)
(816) 640-2762
Entity
Organization
Contact information
Practice address
18215 STATE ROUTE 45 N, WESTON, MO 64098-9101
(816) 640-2762
(816) 640-5564
Mailing address
PO BOX 40, WESTON, MO 64098-0040
(816) 640-2762
(816) 640-5564
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R1J75
MO
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
01/02/2007
Last updated
10/12/2020
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