Organization
THE ORTHOPEDIC & SPORTS MEDICINE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIOUX KEARNES (OFFICE MANAGER)
(816) 233-9888
Entity
Organization
Contact information
Practice address
3107 FREDERICK AVE, SAINT JOSEPH, MO 64506-2911
(816) 233-9888
(816) 233-0414
Mailing address
3107 FREDERICK AVE, SAINT JOSEPH, MO 64506-2911
(816) 233-9888
(816) 233-0414
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0214690001
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0214690001
DMERC SUPPLIES
MO
Enumeration date
04/06/2007
Last updated
08/22/2020
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