Organization
WILDFLOWER RIVERHOUSE LLC
Active
Parent organization
WILDFLOWER RIVERHOUSE LLC
Other names
Thomas III
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILDFLOWER RIVERHOUSE LLC
Authorized official
PATRICK E GAUME (OWNER)
(816) 248-2144
Entity
Organization
Contact information
Practice address
1415 OLIVE ST, SAINT JOSEPH, MO 64503-2443
(816) 273-5070
(816) 273-5070
Mailing address
3831 FREDERICK AVE # 106, SAINT JOSEPH, MO 64506-3020
(816) 248-2144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
06/05/2023
Last updated
03/06/2024
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