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Organization

LIBERTY MEDICAL CENTER, PC

Active
Parent organization
LIBERTY MEDICAL CENTER PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
LIBERTY MEDICAL CENTER PC
Authorized official
SHELLY BOOMGAARDEN (BILLING)
(816) 415-2233
Entity
Organization

Contact information

Practice address
1504 NE 96TH ST STE A, LIBERTY, MO 64068-1351
(816) 415-2233
(816) 415-2218
Mailing address
2980 N BEVERLY GLEN CIR STE 100, LOS ANGELES, CA 90077-1728
(310) 474-9809
(888) 431-8819

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
12/08/2011
Last updated
03/20/2026
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