Organization
WILDFLOWER RIVERHOUSE LLC
Active
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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