Organization
MIDWEST RETINA ASSOCIATES, CHARTERED
Active
Other names
Midwest Retina Associates, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CORMAN FLETCHER M.D. (PRESIDENT)
(816) 531-0400
Entity
Organization
Contact information
Practice address
1010 CARONDELET DR, SUITE 340, KANSAS CITY, MO 64114-4859
(816) 531-0400
(816) 561-4681
Mailing address
1010 CARONDELET DR, SUITE 340, KANSAS CITY, MO 64114-4859
(816) 531-0400
(816) 561-4681
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R8428
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
826183462
RAILROAD MEDICARE
MO
Enumeration date
04/17/2008
Last updated
11/21/2024
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