Organization
MIDWEST UROLOGY & RADIATION ONCOLOGY, INC, PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA L DICKENS (CEO)
(816) 836-6875
Entity
Organization
Contact information
Practice address
19001 E 48TH ST S, INDEPENDENCE, MO 64055-6964
(816) 836-8831
(816) 795-0144
Mailing address
17525 MEDICAL CENTER PKWY, INDEPENDENCE, MO 64057-1824
(816) 836-6875
(816) 214-9009
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
05/26/2006
Last updated
01/26/2011
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