Organization
SHOAL CREEK FAMILY MEDICINE AND ALLERGY, PC
Active
Other names
Stapleton Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RENEE STAPLETON (PRACTICE MANAGER)
(816) 781-4244
Entity
Organization
Contact information
Practice address
9784 N ASH AVENUE, KANSAS CITY, MO 64157
(816) 781-4244
(816) 781-3542
Mailing address
9784 N ASH AVENUE, KANSAS CITY, MO 64157
(816) 781-4244
(816) 781-3542
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
113071
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32015013
BCBS GROUP NUMBER
MO
Enumeration date
11/07/2006
Last updated
08/22/2020
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