Organization
PEDIATRIC PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA M BRADY (OWNER/PHYSICIAN)
(816) 347-0303
Entity
Organization
Contact information
Practice address
258 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(816) 347-0303
(816) 347-0160
Mailing address
258 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(816) 347-0303
(816) 347-0160
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/17/2006
Last updated
08/22/2020
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