Organization
NORTHWEST MISSOURI PHYSICAL MEDICINE AND REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY JO MIDDLETON M.D. (OWNER)
(816) 617-2652
Entity
Organization
Contact information
Practice address
105 FAR WEST DR, SUITE 201, SAINT JOSEPH, MO 64506-3500
(816) 271-8182
(816) 271-8183
Mailing address
105 FAR WEST DR, SUITE 201, SAINT JOSEPH, MO 64506-3500
(816) 271-8182
(816) 271-8183
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/27/2006
Last updated
01/28/2010
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