Organization
MIDWEST ENDOSCOPY CENTER LLC
Active
Organization
MIDWEST ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH W SHEWELL MD (SECRETARY / TREASURER)
(816) 262-6210
Entity
Organization
Contact information
Practice address
4229 FREDERICK AVE STE B, STE B, SAINT JOSEPH, MO 64506-3159
(816) 262-6210
Mailing address
9 FIELDCREST LN, SAINT JOSEPH, MO 64506-1727
(816) 262-6210
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Enumeration date
08/18/2013
Last updated
04/22/2014
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