Organization
JACKSON COUNTY PULMONARY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFONSO J MARTINEZ MD (PRESIDENT)
(816) 478-8113
Entity
Organization
Contact information
Practice address
4911 S ARROWHEAD DRIVE, SUITE 201, INDEPENDENCE, MO 64055
(816) 478-8113
(816) 478-8108
Mailing address
4911 S ARROWHEAD DRIVE, SUITE 201, INDEPENDENCE, MO 64055
(816) 478-8113
(816) 478-8108
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17529013
BCBS
—
05
—
503414609
—
MO
Enumeration date
07/11/2006
Last updated
03/07/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us