Organization
DONNER SUMMIT, LLC
Active
Other names
Thrive Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BILLHARZ MD (OWNER)
(816) 977-3291
Entity
Organization
Contact information
Practice address
9151 NE 81ST TER STE 240, KANSAS CITY, MO 64158-1307
(816) 977-3291
Mailing address
9151 NE 81ST TER SUITE 240, KANSAS CITY, MO 64158
(816) 977-3291
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2010037363
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144458514
—
MO
Enumeration date
05/18/2017
Last updated
08/11/2017
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