Organization
WELLSPRING HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN MOORE HAAS DO (DIRECTOR)
(816) 698-8158
Entity
Organization
Contact information
Practice address
12700 ANTIOCH RD, SHAWNEE MISSION, KS 66213-2827
(909) 815-3324
Mailing address
705B SE MELODY LN # 184, LEES SUMMIT, MO 64063-4380
(909) 815-3324
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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