Organization
PEDIATRIC HEADACHE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERRY R. GERRY MD (PHYSICIAN)
(816) 509-3363
Entity
Organization
Contact information
Practice address
400 E RED BRIDGE RD, SUITE 206, KANSAS CITY, MO 64131-4035
(816) 509-3363
Mailing address
400 E RED BRIDGE RD, SUITE 206, KANSAS CITY, MO 64131-4035
(816) 509-3363
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
105950
MO
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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