Organization
PREMISE HEALTH OF MISSOURI MEDICAL P C
Active
Other names
Boehringer Ingelheim St. Joseph MO Occupational Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN LEIZMAN MD (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
3902 GENE FIELD RD, SAINT JOSEPH, MO 64506-1876
(816) 676-5723
(816) 390-0591
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
10/13/2022
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